Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $70.53 / $177.75	Facility		$70.53	$70.53	$177.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $177.75 / $177.75	Professional		$70.53	$177.75	$177.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $135.43 / $177.75	Facility		$70.53	$135.43	$177.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $177.75 / $177.75	Professional		$70.53	$177.75	$177.75
United Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $80.98 / $134.96	Professional		$78.09	$80.98	$134.96