Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $12.71 / $12.71	Professional		$12.71	$12.71	$12.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $60.78 / $126.15	Facility		$60.78	$60.78	$126.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $126.15 / $126.15	Professional		$60.78	$126.15	$126.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $112.50 / $196.22	Facility		$60.78	$112.50	$196.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $126.15 / $126.15	Professional		$60.78	$126.15	$126.15
United Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $47.52 / $79.20	Professional		$47.52	$47.52	$79.20