Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.58 / $164.58 / $164.58	Facility		$164.58	$164.58	$164.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.89 / $276.50 / $531.29	Facility		$105.89	$276.50	$531.29