Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.83 / $54.83 / $54.83	Professional		$54.83	$54.83	$54.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.50 / $256.50 / $256.50	Facility		$256.50	$256.50	$256.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $256.50 / $569.52	Professional		$35.83	$256.50	$569.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.52 / $228.89 / $457.49	Facility		$50.52	$228.89	$457.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $256.50 / $569.52	Professional		$35.83	$256.50	$569.52
United Facility/Professional Professional Modifier Low / Median / High Price $183.19 / $183.19 / $230.31	Professional		$183.19	$183.19	$230.31