Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.16 / $293.95 / $379.54	Facility		$216.16	$293.95	$379.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.16 / $293.95 / $517.78	Facility		$216.16	$293.95	$517.78