Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $42.05 / $42.05	Professional		$42.05	$42.05	$42.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $209.52	Facility		$209.52	$209.52	$209.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $209.52 / $323.33	Professional		$31.65	$209.52	$323.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $217.78 / $517.33	Facility		$140.44	$217.78	$517.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $209.52 / $323.33	Professional		$31.65	$209.52	$323.33
United Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $189.90 / $316.50	Professional		$171.50	$189.90	$316.50