Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $49.59 / $49.59	Professional		$49.59	$49.59	$49.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $265.97 / $495.99	Facility		$265.97	$265.97	$495.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.97 / $495.99 / $495.99	Professional		$265.97	$495.99	$495.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $404.55 / $705.49	Facility		$265.97	$404.55	$705.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.97 / $495.99 / $495.99	Professional		$265.97	$495.99	$495.99
United Facility/Professional Professional Modifier Low / Median / High Price $201.72 / $201.72 / $336.20	Professional		$201.72	$201.72	$336.20