Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $651.96 / $976.94	Professional		$128.00	$651.96	$976.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $262.77 / $816.25	Facility		$128.00	$262.77	$816.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $131.84 / $976.94	Professional		$128.00	$131.84	$976.94
United Facility/Professional Professional Modifier Low / Median / High Price $379.20 / $402.32 / $411.07	Professional		$379.20	$402.32	$411.07