Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $52.77 / $52.77	Professional		$52.77	$52.77	$52.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.51 / $277.51 / $527.29	Facility		$277.51	$277.51	$527.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $474.94 / $527.29	Professional		$277.51	$474.94	$527.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.51 / $468.18 / $759.90	Facility		$277.51	$468.18	$759.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $474.94 / $527.29	Professional		$277.51	$474.94	$527.29
United Facility/Professional Professional Modifier Low / Median / High Price $215.97 / $215.97 / $359.95	Professional		$215.97	$215.97	$359.95