Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $100.40 / $100.40	Professional		$100.40	$100.40	$100.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $407.96 / $407.96	Facility		$407.96	$407.96	$407.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $407.96 / $899.39	Professional		$64.33	$407.96	$899.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.12 / $407.96 / $1,439.02	Facility		$103.12	$407.96	$1,439.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $407.96 / $899.39	Professional		$64.33	$407.96	$899.39
United Facility/Professional Professional Modifier Low / Median / High Price $339.76 / $361.84 / $603.05	Professional		$339.76	$361.84	$603.05