Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $16.53 / $16.53	Professional		$16.53	$16.53	$16.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.31 / $90.31 / $165.51	Facility		$90.31	$90.31	$165.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.31 / $144.01 / $165.51	Professional		$90.31	$144.01	$165.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.31 / $144.62 / $230.42	Facility		$90.31	$144.62	$230.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.31 / $144.01 / $165.51	Professional		$90.31	$144.01	$165.51
United Facility/Professional Professional Modifier Low / Median / High Price $68.91 / $68.91 / $114.85	Professional		$68.91	$68.91	$114.85