Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.03 / $511.03 / $511.03	Facility		$511.03	$511.03	$511.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $511.03 / $1,653.84	Professional		$125.89	$511.03	$1,653.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.03 / $502.07 / $1,328.49	Facility		$110.03	$502.07	$1,328.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $511.03 / $1,653.84	Professional		$125.89	$511.03	$1,653.84
United Facility/Professional Professional Modifier Low / Median / High Price $616.80 / $771.74 / $1,286.23	Professional		$616.80	$771.74	$1,286.23