Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $21.53	Professional		$21.53	$21.53	$21.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $215.24	Facility		$114.47	$114.47	$215.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $192.03 / $215.24	Professional		$114.47	$192.03	$215.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $193.51 / $307.25	Facility		$114.47	$193.51	$307.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $192.03 / $215.24	Professional		$114.47	$192.03	$215.24
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.07 / $145.11	Professional		$87.07	$87.07	$145.11