Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.28 / $148.28 / $148.28	Facility		$148.28	$148.28	$148.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.28 / $1,403.43 / $2,540.75	Facility		$148.28	$1,403.43	$2,540.75