Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,185.15 / $1,185.15 / $1,185.15	Facility		$1,185.15	$1,185.15	$1,185.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $586.69 / $806.70 / $1,185.15	Facility		$586.69	$806.70	$1,185.15