Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $19.26 / $19.26	Professional		$19.26	$19.26	$19.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $207.57	Facility		$115.90	$115.90	$207.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $161.36 / $207.57	Professional		$115.90	$161.36	$207.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $207.57 / $258.18	Facility		$64.20	$207.57	$258.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $161.36 / $207.57	Professional		$115.90	$161.36	$207.57
United Facility/Professional Professional Modifier Low / Median / High Price $82.30 / $83.39 / $96.14	Professional		$82.30	$83.39	$96.14