Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.66 / $542.66 / $1,408.03	Facility		$542.66	$542.66	$1,408.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.66 / $1,408.03 / $1,408.03	Professional		$542.66	$1,408.03	$1,408.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.66 / $1,107.83 / $1,408.03	Facility		$542.66	$1,107.83	$1,408.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $542.66 / $1,408.03 / $1,408.03	Professional		$542.66	$1,408.03	$1,408.03
United Facility/Professional Professional Modifier Low / Median / High Price $542.92 / $561.16 / $935.28	Professional		$542.92	$561.16	$935.28