Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $765.05 / $790.63	Facility		$630.96	$765.05	$790.63