Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $10.75 / $10.75	Professional		$10.75	$10.75	$10.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $107.37	Facility		$57.54	$57.54	$107.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.53 / $107.37	Professional		$57.54	$95.53	$107.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $94.68 / $152.85	Facility		$57.54	$94.68	$152.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.53 / $107.37	Professional		$57.54	$95.53	$107.37
United Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $42.50 / $70.84	Professional		$42.50	$42.50	$70.84