Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.85 / $210.85 / $210.85	Facility		$210.85	$210.85	$210.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $141.53 / $215.91	Facility		$102.93	$141.53	$215.91