Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.94 / $110.94 / $137.15	Facility	26	$110.94	$110.94	$137.15
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $110.94 / $110.94 / $137.15	Facility	26	$110.94	$110.94	$137.15