Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $39.64 / $39.64	Professional		$39.64	$39.64	$39.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $395.41	Facility		$204.05	$204.05	$395.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.05 / $395.41 / $395.41	Professional		$204.05	$395.41	$395.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $364.14 / $584.78	Facility		$204.05	$364.14	$584.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.05 / $395.41 / $395.41	Professional		$204.05	$395.41	$395.41
United Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $122.61 / $184.51	Facility		$16.35	$122.61	$184.51
United Facility/Professional Professional Modifier Low / Median / High Price $158.15 / $158.15 / $263.58	Professional		$158.15	$158.15	$263.58