Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $18.13 / $18.13	Professional		$18.13	$18.13	$18.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $181.83	Facility		$100.30	$100.30	$181.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $156.81 / $181.83	Professional		$100.30	$156.81	$181.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $179.83 / $250.90	Facility		$58.10	$179.83	$250.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $156.81 / $181.83	Professional		$100.30	$156.81	$181.83
United Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $75.65 / $126.08	Professional		$75.65	$75.65	$126.08