Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.95 / $671.95 / $839.94	Professional		$671.95	$671.95	$839.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,047.15 / $2,164.13 / $3,187.00	Facility		$2,047.15	$2,164.13	$3,187.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $1,083.15 / $2,888.40	Professional		$526.41	$1,083.15	$2,888.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,047.15 / $2,251.87 / $3,187.00	Facility		$2,047.15	$2,251.87	$3,187.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $812.69 / $1,608.48	Professional		$584.90	$812.69	$1,608.48