Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.73 / $124.36 / $159.91	Facility	26	$99.73	$124.36	$159.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $137.06 / $137.06 / $137.06	Facility	26	$137.06	$137.06	$137.06
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $876.64 / $1,102.00 / $1,122.16	Facility	26	$876.64	$1,102.00	$1,122.16
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $137.06 / $137.06 / $137.06	Facility	26	$137.06	$137.06	$137.06