Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $54.52 / $91.15	Facility		$54.52	$54.52	$91.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $78.94 / $91.15	Professional		$54.52	$78.94	$91.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $72.42 / $126.30	Facility		$54.52	$72.42	$126.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $78.94 / $91.15	Professional		$54.52	$78.94	$91.15
United Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $41.75 / $69.59	Professional		$40.96	$41.75	$69.59