Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $1,096.48	Facility		$630.96	$851.14	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $1,513.56	Facility		$630.96	$851.14	$1,513.56