Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.33 / $302.33 / $302.33	Facility		$302.33	$302.33	$302.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.30 / $196.53 / $383.98	Facility		$150.30	$196.53	$383.98