Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.09 / $376.09 / $709.80	Facility		$376.09	$376.09	$709.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.09 / $639.01 / $709.80	Professional		$376.09	$639.01	$709.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $376.09 / $586.30 / $1,022.42	Facility		$376.09	$586.30	$1,022.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $376.09 / $639.01 / $709.80	Professional		$376.09	$639.01	$709.80
United Facility/Professional Professional Modifier Low / Median / High Price $286.08 / $286.08 / $476.81	Professional		$286.08	$286.08	$476.81