Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $59.22 / $59.22	Professional		$59.22	$59.22	$59.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $638.45	Facility		$333.25	$333.25	$638.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $503.00 / $638.45	Professional		$333.25	$503.00	$638.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $535.46 / $804.80	Facility		$333.25	$535.46	$804.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $503.00 / $638.45	Professional		$333.25	$503.00	$638.45
United Facility/Professional Professional Modifier Low / Median / High Price $253.54 / $253.54 / $422.56	Professional		$253.54	$253.54	$422.56