Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.60 / $223.60 / $223.60	Professional		$223.60	$223.60	$223.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,082.51 / $1,082.51 / $1,082.51	Facility		$1,082.51	$1,082.51	$1,082.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $1,082.51 / $1,720.67	Professional		$161.82	$1,082.51	$1,720.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.97 / $1,114.33 / $2,753.07	Facility		$228.97	$1,114.33	$2,753.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $1,082.51 / $1,720.67	Professional		$161.82	$1,082.51	$1,720.67
United Facility/Professional Professional Modifier Low / Median / High Price $877.54 / $963.59 / $1,605.99	Professional		$877.54	$963.59	$1,605.99