Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $139.71 / $265.00 / $528.29	Professional	26	$139.71	$265.00	$528.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.97 / $141.97 / $175.50	Facility	26	$141.97	$141.97	$175.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.06 / $141.97 / $269.79	Professional	26	$98.06	$141.97	$269.79
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $141.97 / $141.97 / $175.50	Facility	26	$141.97	$141.97	$175.50
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $98.60 / $141.97 / $195.87	Professional	26	$98.60	$141.97	$195.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.98 / $89.33 / $167.33	Professional	26	$80.98	$89.33	$167.33