Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $22.84 / $22.84	Professional		$22.84	$22.84	$22.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $129.12	Facility		$129.12	$129.12	$129.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $129.12 / $212.29	Professional		$129.12	$129.12	$212.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $137.47 / $339.66	Facility		$24.34	$137.47	$339.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $129.12 / $212.29	Professional		$129.12	$129.12	$212.29
United Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $80.33 / $133.88	Professional		$75.43	$80.33	$133.88