Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $36.74 / $57.76	Facility		$36.74	$36.74	$57.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $47.95 / $57.76	Professional		$36.74	$47.95	$57.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $46.82 / $76.72	Facility		$36.74	$46.82	$76.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $47.95 / $57.76	Professional		$36.74	$47.95	$57.76
United Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $27.44 / $45.74	Professional		$24.88	$27.44	$45.74