Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.32 / $169.06 / $218.29	Facility		$124.32	$169.06	$218.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.32 / $169.06 / $297.79	Facility		$124.32	$169.06	$297.79