Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $16.94 / $16.94	Professional		$16.94	$16.94	$16.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $169.92	Facility		$94.65	$94.65	$169.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $144.83 / $169.92	Professional		$94.65	$144.83	$169.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $132.90 / $231.73	Facility		$94.65	$132.90	$231.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $144.83 / $169.92	Professional		$94.65	$144.83	$169.92
United Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $70.58 / $117.63	Professional		$70.58	$70.58	$117.63