Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $27.79	Professional		$27.79	$27.79	$27.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $123.98 / $123.98	Facility		$123.98	$123.98	$123.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $123.98 / $255.58	Professional		$17.16	$123.98	$255.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $165.52 / $408.93	Facility		$29.29	$165.52	$408.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $123.98 / $255.58	Professional		$17.16	$123.98	$255.58
United Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $97.01 / $161.68	Professional		$91.09	$97.01	$161.68