Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $140.10	Facility		$57.76	$57.76	$140.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $103.09 / $140.10	Professional		$57.76	$103.09	$140.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $106.74 / $160.43	Facility		$57.76	$106.74	$160.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $103.09 / $140.10	Professional		$57.76	$103.09	$140.10
United Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $66.56 / $110.95	Professional		$60.16	$66.56	$110.95