Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.78 / $331.78 / $331.78	Facility		$331.78	$331.78	$331.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.71 / $203.39 / $331.78	Facility		$162.71	$203.39	$331.78