Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $12.11 / $12.11	Professional		$12.11	$12.11	$12.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $66.38 / $121.35	Facility		$66.38	$66.38	$121.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $105.33 / $121.35	Professional		$66.38	$105.33	$121.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $96.65 / $168.53	Facility		$66.38	$96.65	$168.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $105.33 / $121.35	Professional		$66.38	$105.33	$121.35
United Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $50.19 / $83.65	Professional		$50.19	$50.19	$83.65