Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $41.18 / $41.18	Professional		$41.18	$41.18	$41.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $413.23	Facility		$267.62	$267.62	$413.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $413.23 / $413.23	Professional		$267.62	$413.23	$413.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.09 / $321.95 / $413.23	Facility		$234.09	$321.95	$413.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $302.31 / $413.23	Professional		$267.62	$302.31	$413.23
United Facility/Professional Professional Modifier Low / Median / High Price $178.78 / $191.23 / $318.72	Professional		$178.78	$191.23	$318.72