Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.26 / $570.26 / $570.26	Professional		$570.26	$570.26	$570.26
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 $343.88 / $2,673.00 / $4,868.88	Professional		$343.88	$2,673.00	$4,868.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,333.54 / $2,916.93 / $5,875.04	Facility		$2,333.54	$2,916.93	$5,875.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.88 / $2,673.00 / $4,868.88	Professional		$343.88	$2,673.00	$4,868.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,678.96 / $1,678.96 / $2,798.27	Professional		$1,678.96	$1,678.96	$2,798.27