Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.65 / $138.65 / $174.86	Facility	26	$138.65	$138.65	$174.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $174.86 / $492.43	Professional	26	$90.00	$174.86	$492.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.37 / $133.71 / $173.96	Professional	26	$105.37	$133.71	$173.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $105.37 / $148.03 / $173.96	Professional	26	$105.37	$148.03	$173.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.45 / $85.60 / $173.12	Professional	26	$75.45	$85.60	$173.12