Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $125.67	Professional		$38.90	$38.90	$125.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $109.42 / $125.67	Professional		$109.42	$109.42	$125.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $38.90 / $43.65	Professional	26	$38.90	$38.90	$43.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.77 / $65.77 / $86.76	Professional	TC	$65.77	$65.77	$86.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $101.91 / $125.67	Professional		$73.61	$101.91	$125.67
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $38.90 / $43.65	Professional	26	$38.90	$38.90	$43.65
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $65.77 / $65.77 / $86.76	Professional	TC	$65.77	$65.77	$86.76
United Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $43.82 / $79.79	Professional		$43.52	$43.82	$79.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.82 / $16.32 / $29.78	Professional	26	$14.82	$16.32	$29.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.28 / $27.49 / $50.01	Professional	TC	$27.28	$27.49	$50.01