Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.08 / $153.08 / $172.14	Facility	26	$97.08	$153.08	$172.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.26 / $135.26 / $135.26	Facility	26	$135.26	$135.26	$135.26
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $280.44 / $578.22 / $578.22	Facility	26	$280.44	$578.22	$578.22
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $135.26 / $135.26 / $135.26	Facility	26	$135.26	$135.26	$135.26