Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $194.98 / $223.87	Facility		$141.25	$194.98	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $194.98 / $295.12	Facility		$141.25	$194.98	$295.12