Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $134.60 / $181.40	Professional		$134.60	$134.60	$181.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.40 / $181.40 / $247.93	Professional		$181.40	$181.40	$247.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.60 / $134.60 / $145.50	Professional	26	$134.60	$134.60	$145.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.80 / $46.80 / $102.43	Professional	TC	$46.80	$46.80	$102.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $160.15 / $247.93	Professional		$108.69	$160.15	$247.93
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $134.60 / $134.60 / $145.50	Professional	26	$134.60	$134.60	$145.50
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $46.80 / $46.80 / $102.43	Professional	TC	$46.80	$46.80	$102.43
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $84.43 / $129.41	Professional		$70.59	$84.43	$129.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.99 / $54.57 / $100.05	Professional	26	$51.99	$54.57	$100.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.02 / $29.37 / $33.63	Professional	TC	$16.02	$29.37	$33.63