Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.36 / $221.36 / $221.36	Facility		$221.36	$221.36	$221.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.30 / $151.66 / $221.36	Facility		$110.30	$151.66	$221.36