Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $12.71 / $12.71	Professional		$12.71	$12.71	$12.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $136.94	Facility		$74.67	$74.67	$136.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $103.14 / $136.94	Professional		$74.67	$103.14	$136.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $109.78 / $165.02	Facility		$74.67	$109.78	$165.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $103.14 / $136.94	Professional		$74.67	$103.14	$136.94
United Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $56.68 / $94.46	Professional		$53.51	$56.68	$94.46