Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $44.93 / $44.93	Professional		$44.93	$44.93	$44.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $484.31	Facility		$243.42	$243.42	$484.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.42 / $391.76 / $484.31	Professional		$243.42	$391.76	$484.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $417.05 / $626.82	Facility		$243.42	$417.05	$626.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.42 / $391.76 / $484.31	Professional		$243.42	$391.76	$484.31
United Facility/Professional Professional Modifier Low / Median / High Price $182.68 / $182.68 / $221.42	Professional		$182.68	$182.68	$221.42