Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $12.02 / $15.49	Facility	26	$10.00	$12.02	$15.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.98 / $18.62 / $26.92	Facility	26	$3.98	$18.62	$26.92
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $104.71 / $104.71	Facility	26	$104.71	$104.71	$104.71
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $12.02 / $12.88	Facility	26	$10.00	$12.02	$12.88
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $3.98 / $18.62 / $26.92	Facility	26	$3.98	$18.62	$26.92