Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $46.03 / $46.03	Professional		$46.03	$46.03	$46.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.17 / $243.17 / $460.05	Facility		$243.17	$243.17	$460.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.17 / $412.69 / $460.05	Professional		$243.17	$412.69	$460.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.17 / $416.16 / $660.30	Facility		$243.17	$416.16	$660.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.17 / $412.69 / $460.05	Professional		$243.17	$412.69	$460.05
United Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $185.44 / $233.25	Professional		$185.44	$185.44	$233.25