Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.16 / $217.16 / $217.16	Facility		$217.16	$217.16	$217.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.54 / $163.98 / $318.52	Facility		$122.54	$163.98	$318.52