Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $73.61 / $661.46	Professional		$73.61	$73.61	$661.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.46 / $661.46 / $902.10	Professional		$661.46	$661.46	$902.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.61 / $73.61 / $83.81	Professional	26	$73.61	$73.61	$83.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $587.84 / $587.84 / $818.29	Professional	TC	$587.84	$587.84	$818.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $415.05 / $622.64 / $902.10	Professional		$415.05	$622.64	$902.10
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $73.61 / $73.61 / $83.81	Professional	26	$73.61	$73.61	$83.81
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $587.84 / $587.84 / $818.29	Professional	TC	$587.84	$587.84	$818.29
United Facility/Professional Professional Modifier Low / Median / High Price $270.24 / $335.13 / $495.44	Professional		$270.24	$335.13	$495.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $31.15 / $55.98	Professional	26	$30.53	$31.15	$55.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.71 / $303.98 / $439.46	Professional	TC	$239.71	$303.98	$439.46