Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.54 / $1,177.48 / $1,491.06	Professional		$579.54	$1,177.48	$1,491.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.16 / $201.47 / $255.12	Professional	26	$99.16	$201.47	$255.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $480.39 / $976.02 / $1,235.94	Professional	TC	$480.39	$976.02	$1,235.94
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $120.13 / $205.41 / $205.41	Facility	26	$120.13	$205.41	$205.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,782.62 / $1,782.62 / $1,782.62	Professional		$1,782.62	$1,782.62	$1,782.62
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $313.70 / $313.70 / $313.70	Professional	26	$313.70	$313.70	$313.70
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,468.91 / $1,468.91 / $1,468.91	Professional	TC	$1,468.91	$1,468.91	$1,468.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $270.00 / $469.56	Professional		$55.53	$270.00	$469.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.77 / $582.40 / $748.14	Professional		$323.77	$582.40	$748.14
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $79.76 / $79.76 / $79.76	Professional	26	$79.76	$79.76	$79.76
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $368.61 / $368.61 / $368.61	Professional	TC	$368.61	$368.61	$368.61