Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.60 / $129.60 / $129.60	Facility		$129.60	$129.60	$129.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $83.06 / $129.60	Professional		$83.06	$83.06	$129.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $90.00 / $100.00	Facility		$65.00	$90.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.60 / $129.60 / $129.60	Facility		$129.60	$129.60	$129.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $83.06 / $129.60	Professional		$83.06	$83.06	$129.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00