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 $130.40 / $130.40 / $161.19	Facility	26	$130.40	$130.40	$161.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.18 / $130.40 / $248.24	Professional	26	$97.18	$130.40	$248.24
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $130.40 / $130.40 / $161.19	Facility	26	$130.40	$130.40	$161.19
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $97.22 / $130.40 / $179.69	Professional	26	$97.22	$130.40	$179.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.45 / $86.50 / $155.91	Professional	26	$75.45	$86.50	$155.91