Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.14 / $348.32 / $449.74	Facility		$256.14	$348.32	$449.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.14 / $348.32 / $613.54	Facility		$256.14	$348.32	$613.54