Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.65 / $196.65 / $196.65	Facility		$196.65	$196.65	$196.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.87 / $238.72 / $419.25	Facility		$108.87	$238.72	$419.25