Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $38.38 / $128.30	Professional		$38.38	$38.38	$128.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.94 / $98.94 / $128.30	Professional		$98.94	$98.94	$128.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.38 / $38.38 / $41.90	Professional	26	$38.38	$38.38	$41.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.04 / $57.04 / $89.91	Professional	TC	$57.04	$57.04	$89.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $98.99 / $128.30	Professional		$75.70	$98.99	$128.30
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $38.38 / $38.38 / $41.90	Professional	26	$38.38	$38.38	$41.90
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $57.04 / $57.04 / $89.91	Professional	TC	$57.04	$57.04	$89.91
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $41.79 / $76.62	Professional		$39.31	$41.79	$76.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.68 / $15.81 / $28.99	Professional	26	$15.68	$15.81	$28.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.63 / $25.98 / $47.63	Professional	TC	$23.63	$25.98	$47.63