Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $202.43 / $202.43	Professional		$202.43	$202.43	$202.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.89 / $119.89 / $202.43	Professional		$119.89	$119.89	$202.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $51.00	Professional	26	$40.74	$40.74	$51.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.15 / $79.15 / $151.43	Professional	TC	$79.15	$79.15	$151.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.47 / $154.91 / $202.43	Professional		$118.47	$154.91	$202.43
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $51.00	Professional	26	$40.74	$40.74	$51.00
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $79.15 / $79.15 / $151.43	Professional	TC	$79.15	$79.15	$151.43
United Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $69.94 / $200.50	Professional		$65.09	$69.94	$200.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $20.35 / $37.31	Professional	26	$15.49	$20.35	$37.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.97 / $49.59 / $90.92	Professional	TC	$45.97	$49.59	$90.92