Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.65 / $1,643.65 / $1,953.75	Facility		$1,643.65	$1,643.65	$1,953.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,643.65 / $1,643.65 / $1,953.75	Facility		$1,643.65	$1,643.65	$1,953.75