Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,414.26 / $1,414.26 / $1,414.26	Facility		$1,414.26	$1,414.26	$1,414.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.14 / $1,414.26 / $2,596.84	Professional		$199.14	$1,414.26	$2,596.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $884.34 / $1,749.03 / $4,154.93	Facility		$884.34	$1,749.03	$4,154.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.14 / $1,414.26 / $2,596.84	Professional		$199.14	$1,414.26	$2,596.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,194.83 / $1,194.83 / $1,526.43	Professional		$1,194.83	$1,194.83	$1,526.43