Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.36 / $649.36 / $649.36	Facility		$649.36	$649.36	$649.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.47 / $856.15 / $6,120.98	Facility		$399.47	$856.15	$6,120.98