Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $504.00	Facility		$504.00	$504.00	$504.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.11 / $504.00 / $2,342.55	Professional		$141.11	$504.00	$2,342.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $1,795.40 / $3,748.08	Facility		$504.00	$1,795.40	$3,748.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.11 / $504.00 / $2,342.55	Professional		$141.11	$504.00	$2,342.55
United Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $897.00 / $1,324.00	Professional		$897.00	$897.00	$1,324.00