Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $58.36 / $263.43	Professional		$58.36	$58.36	$263.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.93 / $176.93 / $263.43	Professional		$176.93	$176.93	$263.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.36 / $58.36 / $58.78	Professional	26	$58.36	$58.36	$58.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.07 / $200.08 / $263.43	Professional		$151.07	$200.08	$263.43
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.36 / $58.36 / $58.78	Professional	26	$58.36	$58.36	$58.78
United Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $84.23 / $154.43	Professional		$67.88	$84.23	$154.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $24.25 / $44.46	Professional	26	$21.46	$24.25	$44.46