Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $213.80 / $288.40	Facility	26	$134.90	$213.80	$288.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $190.55 / $269.15	Facility	26	$40.74	$190.55	$269.15
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility	26	$1,047.13	$1,047.13	$1,047.13
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $213.80 / $288.40	Facility	26	$134.90	$213.80	$288.40
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $190.55 / $269.15	Facility	26	$40.74	$190.55	$269.15