Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $163.80 / $163.80	Professional		$163.80	$163.80	$163.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.26 / $642.26 / $642.26	Facility		$642.26	$642.26	$642.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $642.26 / $1,409.38	Professional		$118.88	$642.26	$1,409.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $642.26 / $1,291.66 / $2,255.01	Facility		$642.26	$1,291.66	$2,255.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $642.26 / $1,409.38	Professional		$118.88	$642.26	$1,409.38
United Facility/Professional Professional Modifier Low / Median / High Price $718.78 / $756.24 / $1,260.40	Professional		$718.78	$756.24	$1,260.40