Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.45 / $253.45 / $253.45	Professional		$253.45	$253.45	$253.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,436.52 / $1,436.52 / $1,436.52	Facility		$1,436.52	$1,436.52	$1,436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $1,436.52 / $1,950.30	Professional		$183.43	$1,436.52	$1,950.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.52 / $1,436.52 / $3,120.48	Facility		$259.52	$1,436.52	$3,120.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $1,436.52 / $1,950.30	Professional		$183.43	$1,436.52	$1,950.30
United Facility/Professional Professional Modifier Low / Median / High Price $994.66 / $1,092.43 / $1,820.72	Professional		$994.66	$1,092.43	$1,820.72