Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $12.36 / $12.36	Professional		$12.36	$12.36	$12.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $123.70	Facility		$65.95	$65.95	$123.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $110.66 / $123.70	Professional		$65.95	$110.66	$123.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $101.52 / $177.06	Facility		$65.95	$101.52	$177.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $110.66 / $123.70	Professional		$65.95	$110.66	$123.70
United Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $49.87 / $63.60	Professional		$49.87	$49.87	$63.60