Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,104.18 / $1,104.18 / $1,104.18	Facility		$1,104.18	$1,104.18	$1,104.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $548.04 / $753.56 / $1,104.18	Facility		$548.04	$753.56	$1,104.18