Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.59 / $4.59	Professional		$4.59	$4.59	$4.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $51.75	Facility		$25.20	$25.20	$51.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $42.98 / $51.75	Professional		$25.20	$42.98	$51.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $45.78 / $68.77	Facility		$25.20	$45.78	$68.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $42.98 / $51.75	Professional		$25.20	$42.98	$51.75
United Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $24.59 / $40.99	Professional		$24.59	$24.59	$40.99