Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.45 / $167.04 / $209.82	Facility	26	$127.45	$167.04	$209.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.34 / $179.34 / $179.34	Facility	26	$179.34	$179.34	$179.34
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $714.54 / $740.07 / $769.50	Facility	26	$714.54	$740.07	$769.50
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $179.34 / $179.34 / $179.34	Facility	26	$179.34	$179.34	$179.34