Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.43 / $165.13 / $213.21	Facility		$121.43	$165.13	$213.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.43 / $165.13 / $290.87	Facility		$121.43	$165.13	$290.87