Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $257.04 / $338.84	Facility	26	$162.18	$257.04	$338.84
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	26	$1,819.70	$1,819.70	$1,819.70
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $257.04 / $338.84	Facility	26	$162.18	$257.04	$338.84