Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $25.12 / $33.11	Facility	26	$21.88	$25.12	$33.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $25.12 / $28.84	Facility	26	$21.88	$25.12	$28.84