Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $239.88 / $309.03	Facility		$173.78	$239.88	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $239.88 / $416.87	Facility		$173.78	$239.88	$416.87