Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $525.71	Facility		$307.55	$307.55	$525.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $525.71 / $525.71	Professional		$307.55	$525.71	$525.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.69 / $317.32 / $602.04	Facility		$243.69	$317.32	$602.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $525.71 / $525.71	Professional		$307.55	$525.71	$525.71
United Facility/Professional Professional Modifier Low / Median / High Price $191.90 / $212.32 / $353.87	Professional		$191.90	$212.32	$353.87