Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $1,044.76 / $1,128.83	Professional		$200.00	$1,044.76	$1,128.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $281.01 / $872.95	Facility		$200.00	$281.01	$872.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $206.00 / $1,128.83	Professional		$200.00	$206.00	$1,128.83
United Facility/Professional Professional Modifier Low / Median / High Price $404.00 / $430.26 / $717.10	Professional		$404.00	$430.26	$717.10