Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.99 / $763.99 / $763.99	Facility		$763.99	$763.99	$763.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $375.60 / $516.45 / $763.99	Facility		$375.60	$516.45	$763.99