Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $137.32 / $265.00 / $524.91	Professional	26	$137.32	$265.00	$524.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.81 / $138.81 / $171.60	Facility	26	$138.81	$138.81	$171.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.97 / $138.81 / $263.85	Professional	26	$94.97	$138.81	$263.85
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $138.81 / $138.81 / $171.60	Facility	26	$138.81	$138.81	$171.60
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $95.48 / $138.81 / $188.20	Professional	26	$95.48	$138.81	$188.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.68 / $85.88 / $166.70	Professional	26	$80.68	$85.88	$166.70