Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $275.42 / $354.81	Facility		$204.17	$275.42	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $275.42 / $489.78	Facility		$204.17	$275.42	$489.78