Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,220.00 / $3,220.00 / $3,220.00	Facility		$3,220.00	$3,220.00	$3,220.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,590.14 / $3,423.55 / $3,664.71	Facility		$1,590.14	$3,423.55	$3,664.71