Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.38 / $72.75 / $115.63	Facility	26	$54.38	$72.75	$115.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.86 / $102.86 / $102.86	Facility	26	$102.86	$102.86	$102.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $586.17 / $710.22 / $725.41	Facility	26	$586.17	$710.22	$725.41
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $102.86 / $102.86 / $102.86	Facility	26	$102.86	$102.86	$102.86