Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $369.39 / $992.12	Facility		$369.39	$369.39	$992.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.39 / $992.12 / $992.12	Professional		$369.39	$992.12	$992.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $755.91 / $992.12	Facility		$369.39	$755.91	$992.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $369.39 / $992.12 / $992.12	Professional		$369.39	$992.12	$992.12
United Facility/Professional Professional Modifier Low / Median / High Price $409.01 / $435.42 / $725.70	Professional		$409.01	$435.42	$725.70