Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.42 / $110.42 / $131.25	Facility	26	$110.42	$110.42	$131.25
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $110.42 / $110.42 / $131.25	Facility	26	$110.42	$110.42	$131.25