Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $6.44 / $6.44	Professional		$6.44	$6.44	$6.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $64.29	Facility		$34.40	$34.40	$64.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $57.28 / $64.29	Professional		$34.40	$57.28	$64.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.71 / $64.29 / $91.65	Facility		$21.71	$64.29	$91.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $57.28 / $64.29	Professional		$34.40	$57.28	$64.29
United Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $19.80 / $26.40	Facility		$2.64	$19.80	$26.40
United Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $25.58 / $42.64	Professional		$25.58	$25.58	$42.64