Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $83.15 / $209.57	Facility		$83.15	$83.15	$209.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $209.57 / $209.57	Professional		$83.15	$209.57	$209.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $159.66 / $209.57	Facility		$83.15	$159.66	$209.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $209.57 / $209.57	Professional		$83.15	$209.57	$209.57
United Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $97.22 / $162.04	Professional		$92.06	$97.22	$162.04