Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.29 / $169.02 / $218.23	Facility		$124.29	$169.02	$218.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.29 / $169.02 / $297.70	Facility		$124.29	$169.02	$297.70