Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.46 / $129.46 / $129.46	Professional		$129.46	$129.46	$129.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $670.25 / $1,395.26	Facility		$670.25	$670.25	$1,395.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.25 / $1,292.77 / $1,395.26	Professional		$670.25	$1,292.77	$1,395.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $990.47 / $1,871.94	Facility		$670.25	$990.47	$1,871.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $670.25 / $1,292.77 / $1,395.26	Professional		$670.25	$1,292.77	$1,395.26
United Facility/Professional Professional Modifier Low / Median / High Price $551.47 / $551.47 / $919.11	Professional		$551.47	$551.47	$919.11