Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $65.48 / $65.48	Professional		$65.48	$65.48	$65.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $358.71 / $656.04	Facility		$358.71	$358.71	$656.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.71 / $571.13 / $656.04	Professional		$358.71	$571.13	$656.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $524.03 / $913.81	Facility		$358.71	$524.03	$913.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.71 / $571.13 / $656.04	Professional		$358.71	$571.13	$656.04
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $201.90 / $269.19	Facility		$26.92	$201.90	$269.19
United Facility/Professional Professional Modifier Low / Median / High Price $270.02 / $270.02 / $450.03	Professional		$270.02	$270.02	$450.03