Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.99 / $469.99 / $469.99	Professional		$469.99	$469.99	$469.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Facility		$2,592.00	$2,592.00	$2,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $2,592.00 / $3,969.24	Professional		$267.95	$2,592.00	$3,969.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.92 / $333.08 / $4,789.60	Facility		$224.92	$333.08	$4,789.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $2,592.00 / $3,969.24	Professional		$267.95	$2,592.00	$3,969.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,277.72 / $1,277.72 / $2,129.53	Professional		$1,277.72	$1,277.72	$2,129.53