Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.07 / $684.07 / $684.07	Facility		$684.07	$684.07	$684.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $684.07 / $1,004.90 / $1,071.46	Facility		$684.07	$1,004.90	$1,071.46