Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $34.28 / $42.85	Professional		$34.28	$34.28	$42.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.72 / $115.19 / $146.37	Facility		$104.72	$115.19	$146.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $26.93 / $26.93	Professional		$26.93	$26.93	$26.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.72 / $115.19 / $146.37	Facility		$104.72	$115.19	$146.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $29.92 / $32.78	Professional		$29.34	$29.92	$32.78