Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $21.91 / $21.91	Professional		$21.91	$21.91	$21.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $115.51 / $218.87	Facility		$115.51	$115.51	$218.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $197.83 / $218.87	Professional		$115.51	$197.83	$218.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $226.91 / $316.52	Facility		$115.51	$226.91	$316.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $197.83 / $218.87	Professional		$115.51	$197.83	$218.87
United Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $86.74 / $144.56	Professional		$86.74	$86.74	$144.56