Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.60 / $623.60 / $623.60	Professional		$623.60	$623.60	$623.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.04 / $348.04 / $623.60	Professional		$348.04	$348.04	$623.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.27 / $97.27 / $106.51	Professional	26	$97.27	$97.27	$106.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $241.53 / $241.53 / $526.33	Professional	TC	$241.53	$241.53	$526.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.97 / $545.38 / $641.65	Professional		$384.97	$545.38	$641.65
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $97.27 / $97.27 / $106.51	Professional	26	$97.27	$97.27	$106.51
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $241.53 / $241.53 / $526.33	Professional	TC	$241.53	$241.53	$526.33
United Facility/Professional Professional Modifier Low / Median / High Price $247.07 / $247.27 / $452.96	Professional		$247.07	$247.27	$452.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.96 / $40.50 / $74.23	Professional	26	$39.96	$40.50	$74.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $206.57 / $207.31 / $378.72	Professional	TC	$206.57	$207.31	$378.72