Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $154.88 / $288.40	Professional	26	$93.33	$154.88	$288.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $165.96	Facility	26	$134.90	$134.90	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $104.71 / $257.04	Professional	26	$60.26	$104.71	$257.04
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $165.96	Facility	26	$134.90	$134.90	$165.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $125.89 / $181.97	Professional	26	$91.20	$125.89	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $81.28 / $158.49	Professional	26	$79.43	$81.28	$158.49