Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $12.02 / $16.22	Facility	26	$10.96	$12.02	$16.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.17 / $19.50 / $27.54	Facility	26	$4.17	$19.50	$27.54
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $12.02 / $14.13	Facility	26	$10.96	$12.02	$14.13
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $4.17 / $19.50 / $27.54	Facility	26	$4.17	$19.50	$27.54