Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $12.28	Professional		$12.28	$12.28	$12.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $122.26	Facility		$60.80	$60.80	$122.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $115.83 / $122.26	Professional		$60.80	$115.83	$122.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $116.52 / $185.33	Facility		$60.80	$116.52	$185.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $115.83 / $122.26	Professional		$60.80	$115.83	$122.26
United Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $47.77 / $66.56	Professional		$47.77	$47.77	$66.56