Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $263.20 / $263.20	Professional		$263.20	$263.20	$263.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $1,208.78	Facility		$1,208.78	$1,208.78	$1,208.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $1,208.78 / $2,025.40	Professional		$190.49	$1,208.78	$2,025.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.52 / $1,311.69 / $3,240.64	Facility		$269.52	$1,311.69	$3,240.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $1,208.78 / $2,025.40	Professional		$190.49	$1,208.78	$2,025.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,032.95 / $1,134.22 / $1,890.37	Professional		$1,032.95	$1,134.22	$1,890.37