Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.77 / $645.77 / $645.77	Professional		$645.77	$645.77	$645.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $2,673.00 / $2,673.00	Facility		$2,673.00	$2,673.00	$2,673.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.53 / $2,673.00 / $5,319.84	Professional		$378.53	$2,673.00	$5,319.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.62 / $477.22 / $6,419.20	Facility		$287.62	$477.22	$6,419.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.53 / $2,673.00 / $5,319.84	Professional		$378.53	$2,673.00	$5,319.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,783.24 / $1,783.24 / $2,972.07	Professional		$1,783.24	$1,783.24	$2,972.07