Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $265.00 / $291.50	Professional	26	$90.00	$265.00	$291.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.66 / $135.66 / $167.70	Facility	26	$135.66	$135.66	$167.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.26 / $105.89 / $258.19	Professional	26	$100.26	$105.89	$258.19
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $135.66 / $135.66 / $167.70	Facility	26	$135.66	$135.66	$167.70
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $101.09 / $135.66 / $180.09	Professional	26	$101.09	$135.66	$180.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.73 / $82.12 / $166.05	Professional	26	$79.73	$82.12	$166.05