Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $232.12	Facility		$232.12	$232.12	$232.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $232.12 / $787.56	Professional		$59.95	$232.12	$787.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $232.12 / $632.47	Facility		$52.40	$232.12	$632.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $232.12 / $787.56	Professional		$59.95	$232.12	$787.56
United Facility/Professional Professional Modifier Low / Median / High Price $293.80 / $367.46 / $612.44	Professional		$293.80	$367.46	$612.44