Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $302.00 / $389.05	Facility		$223.87	$302.00	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $302.00 / $549.54	Facility		$223.87	$302.00	$549.54