Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.76 / $514.76 / $514.76	Facility		$514.76	$514.76	$514.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.69 / $340.92 / $514.76	Facility		$254.69	$340.92	$514.76