Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.32 / $265.00 / $646.00	Professional	26	$113.32	$265.00	$646.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $175.09 / $175.09 / $216.45	Facility	26	$175.09	$175.09	$216.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.94 / $175.09 / $332.85	Professional	26	$118.94	$175.09	$332.85
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $175.09 / $175.09 / $216.45	Facility	26	$175.09	$175.09	$216.45
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $119.62 / $175.09 / $239.33	Professional	26	$119.62	$175.09	$239.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.38 / $108.76 / $213.59	Professional	26	$103.38	$108.76	$213.59