Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.19 / $206.95 / $267.20	Facility		$152.19	$206.95	$267.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.19 / $206.95 / $364.54	Facility		$152.19	$206.95	$364.54