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 / $1,128.83 / $1,220.91	Professional		$200.00	$1,128.83	$1,220.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $328.38 / $1,020.56	Facility		$200.00	$328.38	$1,020.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $206.00 / $1,220.91	Professional		$200.00	$206.00	$1,220.91
United Facility/Professional Professional Modifier Low / Median / High Price $472.12 / $502.80 / $838.00	Professional		$472.12	$502.80	$838.00