Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $190.61	Facility		$111.50	$111.50	$190.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $190.61 / $190.61	Professional		$111.50	$190.61	$190.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $145.22 / $253.25	Facility		$59.99	$145.22	$253.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $158.28 / $190.61	Professional		$111.50	$158.28	$190.61
United Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $80.23 / $93.48	Professional		$80.23	$80.23	$93.48