Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.55 / $72.55 / $158.11	Facility	26	$72.55	$72.55	$158.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.90 / $113.90 / $113.90	Facility	26	$113.90	$113.90	$113.90
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $113.90 / $113.90 / $113.90	Facility	26	$113.90	$113.90	$113.90