Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $15.65 / $15.65	Professional		$15.65	$15.65	$15.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $168.29	Facility		$98.45	$98.45	$168.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $168.29 / $168.29	Professional		$98.45	$168.29	$168.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $128.22 / $168.29	Facility		$98.45	$128.22	$168.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $168.29 / $168.29	Professional		$98.45	$168.29	$168.29
United Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $49.89 / $69.84	Facility		$6.65	$49.89	$69.84
United Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $79.81 / $133.04	Professional		$79.81	$79.81	$133.04