Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $49.84 / $49.84	Professional		$49.84	$49.84	$49.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $172.77 / $172.77	Facility		$172.77	$172.77	$172.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $172.77 / $383.40	Professional		$36.07	$172.77	$383.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $248.30 / $613.44	Facility		$51.04	$248.30	$613.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $172.77 / $383.40	Professional		$36.07	$172.77	$383.40
United Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $214.81 / $358.01	Professional		$195.53	$214.81	$358.01