Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.23 / $321.23 / $321.23	Professional		$321.23	$321.23	$321.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.37 / $799.37 / $799.37	Facility		$799.37	$799.37	$799.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $799.37 / $2,480.71	Professional		$133.31	$799.37	$2,480.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $799.37 / $1,696.20 / $3,969.15	Facility		$799.37	$1,696.20	$3,969.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $799.37 / $2,480.71	Professional		$133.31	$799.37	$2,480.71
United Facility/Professional Professional Modifier Low / Median / High Price $833.76 / $833.76 / $1,402.09	Professional		$833.76	$833.76	$1,402.09