Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $142.91 / $142.91	Professional		$142.91	$142.91	$142.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $867.37 / $867.37 / $867.37	Facility		$867.37	$867.37	$867.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $867.37 / $1,228.75	Professional		$103.85	$867.37	$1,228.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $795.76 / $1,040.40 / $1,966.00	Facility		$795.76	$1,040.40	$1,966.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $867.37 / $1,228.75	Professional		$103.85	$867.37	$1,228.75
United Facility/Professional Professional Modifier Low / Median / High Price $626.66 / $660.24 / $1,100.40	Professional		$626.66	$660.24	$1,100.40