Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $139.86 / $139.86	Facility		$139.86	$139.86	$139.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.01 / $112.97 / $204.10	Facility		$80.01	$112.97	$204.10