Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.12 / $289.12 / $289.12	Facility		$289.12	$289.12	$289.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $289.12 / $289.12 / $289.12	Facility		$289.12	$289.12	$289.12