Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.27 / $504.27 / $630.34	Professional		$504.27	$504.27	$630.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,536.26 / $1,624.04 / $1,755.72	Facility		$1,536.26	$1,624.04	$1,755.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.04 / $812.84 / $2,167.56	Professional		$395.04	$812.84	$2,167.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,536.26 / $1,624.04 / $1,755.72	Facility		$1,536.26	$1,624.04	$1,755.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $438.93 / $614.14 / $1,207.06	Professional		$438.93	$614.14	$1,207.06