Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.35 / $55.21 / $84.02	Facility	26	$42.35	$55.21	$84.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.26 / $74.26 / $74.26	Facility	26	$74.26	$74.26	$74.26
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $152.38 / $319.20 / $319.20	Facility	26	$152.38	$319.20	$319.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $74.26 / $74.26 / $74.26	Facility	26	$74.26	$74.26	$74.26