Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $524.81 / $676.08	Facility		$389.05	$524.81	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $524.81 / $912.01	Facility		$389.05	$524.81	$912.01