Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $5.07 / $5.07	Professional		$5.07	$5.07	$5.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $30.64 / $54.64	Facility		$30.64	$30.64	$54.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $54.64 / $54.64	Professional		$30.64	$54.64	$54.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $42.40 / $63.74	Facility		$15.10	$42.40	$63.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $54.64 / $54.64	Professional		$30.64	$54.64	$54.64
United Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $22.75 / $37.92	Professional		$20.32	$22.75	$37.92