Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.05 / $174.14 / $224.84	Facility		$128.05	$174.14	$224.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.05 / $174.14 / $306.73	Facility		$128.05	$174.14	$306.73