Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $169.38 / $169.38	Professional		$169.38	$169.38	$169.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.06 / $902.06 / $902.06	Facility		$902.06	$902.06	$902.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $902.06 / $1,414.17	Professional		$127.42	$902.06	$1,414.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $902.06 / $1,400.38 / $2,262.67	Facility		$902.06	$1,400.38	$2,262.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $902.06 / $1,414.17	Professional		$127.42	$902.06	$1,414.17
United Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $510.12 / $929.53	Facility		$68.02	$510.12	$929.53
United Facility/Professional Professional Modifier Low / Median / High Price $721.22 / $796.74 / $1,327.90	Professional		$721.22	$796.74	$1,327.90