Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $208.93 / $269.15	Facility		$154.88	$208.93	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $208.93 / $407.38	Facility		$154.88	$208.93	$407.38