Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $12.77 / $12.77	Professional		$12.77	$12.77	$12.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $136.36	Facility		$73.04	$73.04	$136.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $102.96 / $136.36	Professional		$73.04	$102.96	$136.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.03 / $109.61 / $164.74	Facility		$39.03	$109.61	$164.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $102.96 / $136.36	Professional		$73.04	$102.96	$136.36
United Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $34.56 / $46.07	Facility		$4.84	$34.56	$46.07
United Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $51.77 / $86.29	Professional		$51.77	$51.77	$86.29