Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $6.32 / $6.32	Professional		$6.32	$6.32	$6.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $33.36 / $62.93	Facility		$33.36	$33.36	$62.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $56.57 / $62.93	Professional		$33.36	$56.57	$62.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.13 / $62.93 / $90.51	Facility		$29.13	$62.93	$90.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $56.57 / $62.93	Professional		$33.36	$56.57	$62.93
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $42.44	Professional		$25.46	$25.46	$42.44