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 / $406.19	Professional	26	$90.00	$265.00	$406.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.74 / $106.74 / $131.94	Facility	26	$106.74	$106.74	$131.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.73 / $106.74 / $202.96	Professional	26	$72.73	$106.74	$202.96
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $106.74 / $106.74 / $131.94	Facility	26	$106.74	$106.74	$131.94
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $73.20 / $106.74 / $142.62	Professional	26	$73.20	$106.74	$142.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.09 / $66.13 / $128.66	Professional	26	$62.09	$66.13	$128.66