Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.63 / $226.63 / $226.63	Facility		$226.63	$226.63	$226.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.63 / $226.63 / $226.63	Professional		$226.63	$226.63	$226.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.63 / $226.63 / $226.63	Facility		$226.63	$226.63	$226.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.63 / $226.63 / $226.63	Professional		$226.63	$226.63	$226.63