Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.27 / $162.13 / $201.79	Facility	26	$123.27	$162.13	$201.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.08 / $172.08 / $172.08	Facility	26	$172.08	$172.08	$172.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $657.79 / $747.75 / $747.75	Facility	26	$657.79	$747.75	$747.75
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $172.08 / $172.08 / $172.08	Facility	26	$172.08	$172.08	$172.08