Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $125.89 / $154.88	Facility	26	$72.44	$125.89	$154.88
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $851.14 / $1,047.13 / $1,071.52	Facility	26	$851.14	$1,047.13	$1,071.52
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $154.88	Facility	26	$125.89	$125.89	$154.88