Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.04 / $235.40 / $356.73	Facility		$175.04	$235.40	$356.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $157.50 / $175.04	Professional		$126.00	$157.50	$175.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.04 / $235.40 / $356.73	Facility		$175.04	$235.40	$356.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $120.72 / $175.04	Professional		$108.65	$120.72	$175.04
United Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $50.70 / $165.93	Professional		$50.70	$50.70	$165.93