Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,239.00 / $2,239.00 / $2,239.00	Facility		$2,239.00	$2,239.00	$2,239.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,257.75 / $1,257.75 / $1,257.75	Facility		$1,257.75	$1,257.75	$1,257.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,257.75 / $1,257.75 / $2,239.00	Facility		$1,257.75	$1,257.75	$2,239.00