Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.70 / $523.70 / $523.70	Facility		$523.70	$523.70	$523.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.66 / $330.91 / $523.70	Facility		$259.66	$330.91	$523.70