Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.66 / $186.66 / $371.21	Professional		$186.66	$186.66	$371.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.65 / $334.65 / $371.21	Professional		$334.65	$334.65	$371.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $186.66 / $186.66 / $199.04	Professional	26	$186.66	$186.66	$199.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.61 / $135.61 / $184.56	Professional	TC	$135.61	$135.61	$184.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.92 / $334.65 / $388.22	Professional		$232.92	$334.65	$388.22
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $186.66 / $186.66 / $199.04	Professional	26	$186.66	$186.66	$199.04
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $135.61 / $135.61 / $184.56	Professional	TC	$135.61	$135.61	$184.56
United Facility/Professional Professional Modifier Low / Median / High Price $124.17 / $144.22 / $402.66	Professional		$124.17	$144.22	$402.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.11 / $80.34 / $147.28	Professional	26	$74.11	$80.34	$147.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.06 / $63.88 / $117.12	Professional	TC	$50.06	$63.88	$117.12