Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $3.90 / $3.90	Professional		$3.90	$3.90	$3.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $24.94 / $39.17	Facility		$24.94	$24.94	$39.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $32.51 / $39.17	Professional		$24.94	$32.51	$39.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $31.21 / $52.02	Facility		$24.94	$31.21	$52.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $32.51 / $39.17	Professional		$24.94	$32.51	$39.17
United Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $18.53 / $21.62	Professional		$18.53	$18.53	$21.62