Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $16.45	Professional		$16.45	$16.45	$16.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $81.17 / $163.65	Facility		$81.17	$81.17	$163.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $155.38 / $163.65	Professional		$81.17	$155.38	$163.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.67 / $163.65 / $248.61	Facility		$68.67	$163.65	$248.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $155.38 / $163.65	Professional		$81.17	$155.38	$163.65
United Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $61.50 / $102.50	Professional		$61.50	$61.50	$102.50