Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $12.98 / $12.98	Professional		$12.98	$12.98	$12.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $78.15 / $139.99	Facility		$78.15	$78.15	$139.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $102.65 / $139.99	Professional		$78.15	$102.65	$139.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $109.28 / $164.24	Facility		$78.15	$109.28	$164.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $102.65 / $139.99	Professional		$78.15	$102.65	$139.99
United Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $58.10 / $96.83	Professional		$53.24	$58.10	$96.83