Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.99 / $121.99 / $150.80	Facility	26	$121.99	$121.99	$150.80
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $121.99 / $121.99 / $150.80	Facility	26	$121.99	$121.99	$150.80