Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $149.19 / $265.00 / $362.78	Professional	26	$149.19	$265.00	$362.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.67 / $176.67 / $218.40	Facility	26	$176.67	$176.67	$218.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.03 / $176.67 / $335.86	Professional	26	$122.03	$176.67	$335.86
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $176.67 / $176.67 / $218.40	Facility	26	$176.67	$176.67	$218.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $122.74 / $176.67 / $241.38	Professional	26	$122.74	$176.67	$241.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.30 / $111.27 / $215.49	Professional	26	$104.30	$111.27	$215.49