Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $223.87 / $398.11	Facility		$165.96	$223.87	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $223.87 / $338.84	Facility		$165.96	$223.87	$338.84