Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $101.95	Professional		$101.95	$101.95	$101.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $581.42 / $1,099.00	Facility		$581.42	$581.42	$1,099.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.42 / $854.07 / $1,099.00	Professional		$581.42	$854.07	$1,099.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $909.19 / $1,366.51	Facility		$581.42	$909.19	$1,366.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $581.42 / $854.07 / $1,099.00	Professional		$581.42	$854.07	$1,099.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.58 / $436.61 / $727.69	Professional		$435.58	$436.61	$727.69