Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.28 / $199.28 / $199.28	Professional		$199.28	$199.28	$199.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.63 / $168.63 / $199.28	Facility		$168.63	$168.63	$199.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.39 / $199.28 / $199.28	Professional		$169.39	$199.28	$199.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $122.48 / $213.85	Facility		$81.33	$122.48	$213.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $199.28 / $233.10	Professional		$129.69	$199.28	$233.10
United Facility/Professional Professional Modifier Low / Median / High Price $188.77 / $206.92 / $230.08	Professional		$188.77	$206.92	$230.08