Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.26 / $220.26 / $220.26	Professional		$220.26	$220.26	$220.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $2,374.60	Facility		$1,217.05	$1,217.05	$2,374.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.05 / $2,374.60 / $2,374.60	Professional		$1,217.05	$2,374.60	$2,374.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,853.27 / $3,017.95	Facility		$1,217.05	$1,853.27	$3,017.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,217.05 / $2,374.60 / $2,374.60	Professional		$1,217.05	$2,374.60	$2,374.60
United Facility/Professional Professional Modifier Low / Median / High Price $960.91 / $960.91 / $1,601.52	Professional		$960.91	$960.91	$1,601.52