Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.38 / $853.16 / $1,101.56	Facility		$627.38	$853.16	$1,101.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $627.38 / $853.16 / $1,502.79	Facility		$627.38	$853.16	$1,502.79