Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $126.72	Facility		$126.72	$126.72	$126.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.53 / $126.72 / $215.31	Facility		$62.53	$126.72	$215.31