Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.05 / $164.05 / $164.05	Facility		$164.05	$164.05	$164.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.41 / $99.67 / $184.69	Facility		$83.41	$99.67	$184.69