Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $64.17	Facility		$64.17	$64.17	$64.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $64.17 / $187.60	Professional		$13.43	$64.17	$187.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $123.56 / $300.16	Facility		$21.50	$123.56	$300.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $64.17 / $187.60	Professional		$13.43	$64.17	$187.60
United Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $72.31 / $120.54	Professional		$67.91	$72.31	$120.54