Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.26 / $219.26 / $219.26	Facility		$219.26	$219.26	$219.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.69 / $293.47 / $421.88	Facility		$134.69	$293.47	$421.88