Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $8.67 / $8.67	Professional		$8.67	$8.67	$8.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $54.06 / $87.14	Facility		$54.06	$54.06	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $72.62 / $87.14	Professional		$54.06	$72.62	$87.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $66.64 / $116.19	Facility		$54.06	$66.64	$116.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $72.62 / $87.14	Professional		$54.06	$72.62	$87.14
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $40.70 / $67.84	Professional		$37.04	$40.70	$67.84