Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.15 / $155.15 / $155.15	Facility		$155.15	$155.15	$155.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.15 / $155.15 / $155.15	Professional		$155.15	$155.15	$155.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.15 / $155.15 / $155.15	Facility		$155.15	$155.15	$155.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $96.30 / $155.15	Professional		$96.30	$96.30	$155.15
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $107.00	Professional		$44.94	$44.94	$107.00