Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $240.50	Facility		$240.50	$240.50	$240.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $240.50 / $303.95	Professional		$26.88	$240.50	$303.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $107.19 / $283.49	Facility		$20.22	$107.19	$283.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $240.50 / $303.95	Professional		$26.88	$240.50	$303.95
United Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $164.78 / $274.64	Professional		$131.63	$164.78	$274.64