Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.70 / $1,244.51 / $1,491.06	Professional		$256.70	$1,244.51	$1,491.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.29 / $212.93 / $255.12	Professional	26	$48.29	$212.93	$255.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.86 / $1,031.58 / $1,235.94	Professional	TC	$189.86	$1,031.58	$1,235.94
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $71.05 / $97.82 / $100.50	Facility	26	$71.05	$97.82	$100.50
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $58.69 / $82.50 / $109.50	Professional	26	$58.69	$82.50	$109.50
Pacific Source Facility/Professional Professional Modifier TC Low / Median / High Price $264.92 / $378.16 / $487.50	Professional	TC	$264.92	$378.16	$487.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $511.50 / $591.94 / $783.75	Professional		$511.50	$591.94	$783.75
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $66.59 / $108.47 / $109.77	Professional	26	$66.59	$108.47	$109.77
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $307.13 / $501.30 / $556.40	Professional	TC	$307.13	$501.30	$556.40