Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.31 / $913.31 / $913.31	Facility		$913.31	$913.31	$913.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $913.31 / $1,124.50 / $1,173.92	Facility		$913.31	$1,124.50	$1,173.92