Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.03 / $113.03 / $174.86	Facility	26	$113.03	$113.03	$174.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $131.78 / $388.00	Professional	26	$90.00	$131.78	$388.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.08 / $102.99 / $134.85	Professional	26	$78.08	$102.99	$134.85
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $78.08 / $114.03 / $134.85	Professional	26	$78.08	$114.03	$134.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.12 / $64.20 / $142.86	Professional	26	$61.12	$64.20	$142.86