Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $15.39 / $15.39	Professional		$15.39	$15.39	$15.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $166.04	Facility		$93.52	$93.52	$166.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $120.44 / $166.04	Professional		$93.52	$120.44	$166.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $128.22 / $192.70	Facility		$93.52	$128.22	$192.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $120.44 / $166.04	Professional		$93.52	$120.44	$166.04
United Facility/Professional Professional Modifier Low / Median / High Price $61.42 / $68.65 / $114.41	Professional		$61.42	$68.65	$114.41