Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $16.73 / $16.73	Professional		$16.73	$16.73	$16.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $81.62 / $166.28	Facility		$81.62	$81.62	$166.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $159.16 / $166.28	Professional		$81.62	$159.16	$166.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $182.54 / $254.67	Facility		$81.62	$182.54	$254.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $159.16 / $166.28	Professional		$81.62	$159.16	$166.28
United Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $63.90 / $106.50	Professional		$63.90	$63.90	$106.50