Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $25.04 / $25.04	Professional		$25.04	$25.04	$25.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $248.81	Facility		$123.59	$123.59	$248.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.59 / $235.28 / $248.81	Professional		$123.59	$235.28	$248.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $215.87 / $376.45	Facility		$123.59	$215.87	$376.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.59 / $235.28 / $248.81	Professional		$123.59	$235.28	$248.81
United Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $95.59 / $159.32	Professional		$95.59	$95.59	$159.32