Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $32.38 / $32.38	Professional		$32.38	$32.38	$32.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $322.42	Facility		$160.96	$160.96	$322.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $304.33 / $322.42	Professional		$160.96	$304.33	$322.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $312.12 / $486.94	Facility		$160.96	$312.12	$486.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $304.33 / $322.42	Professional		$160.96	$304.33	$322.42
United Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $145.18 / $209.92	Professional		$125.95	$145.18	$209.92