Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Professional		$4.88	$4.88	$4.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $52.85	Facility		$28.34	$28.34	$52.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $52.85 / $52.85	Professional		$28.34	$52.85	$52.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $45.14 / $67.81	Facility		$28.34	$45.14	$67.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $52.85 / $52.85	Professional		$28.34	$52.85	$52.85
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.26 / $33.76	Professional		$20.26	$20.26	$33.76