Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $56.17 / $56.17	Professional		$56.17	$56.17	$56.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.50 / $238.50 / $238.50	Facility		$238.50	$238.50	$238.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $238.50 / $549.72	Professional		$238.50	$238.50	$549.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $173.65 / $441.36	Facility		$48.76	$173.65	$441.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $238.50 / $549.72	Professional		$238.50	$238.50	$549.72
United Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $134.81 / $179.92	Facility		$20.50	$134.81	$179.92
United Facility/Professional Professional Modifier Low / Median / High Price $160.01 / $170.42 / $284.02	Professional		$160.01	$170.42	$284.02