Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.85 / $208.78 / $502.00	Facility		$177.85	$208.78	$502.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.85 / $201.05 / $502.00	Facility		$177.85	$201.05	$502.00