Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $15.86 / $15.86	Professional		$15.86	$15.86	$15.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $153.47	Facility		$62.10	$62.10	$153.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $109.84 / $153.47	Professional		$62.10	$109.84	$153.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $92.60 / $175.74	Facility		$62.10	$92.60	$175.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $109.84 / $153.47	Professional		$62.10	$109.84	$153.47
United Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $61.98 / $103.30	Professional		$56.02	$61.98	$103.30