Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $151.36 / $204.17	Facility	26	$109.65	$151.36	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $134.90 / $194.98	Facility	26	$28.84	$134.90	$194.98
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	26	$741.31	$741.31	$741.31
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $151.36 / $204.17	Facility	26	$97.72	$151.36	$204.17
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $134.90 / $194.98	Facility	26	$28.84	$134.90	$194.98