Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $204.17 / $380.19	Professional	26	$112.20	$204.17	$380.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $177.83 / $218.78	Facility	26	$177.83	$177.83	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $128.82 / $338.84	Professional	26	$79.43	$128.82	$338.84
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $177.83 / $218.78	Facility	26	$177.83	$177.83	$218.78
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $162.18 / $239.88	Professional	26	$117.49	$162.18	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $112.20 / $213.80	Professional	26	$104.71	$112.20	$213.80