Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.44 / $102.84 / $645.37	Professional	26	$91.44	$102.84	$645.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $168.78 / $168.78 / $208.65	Facility	26	$168.78	$168.78	$208.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.82 / $140.75 / $228.91	Professional	26	$115.82	$140.75	$228.91
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $168.78 / $168.78 / $208.65	Facility	26	$168.78	$168.78	$208.65
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $115.82 / $168.78 / $228.91	Professional	26	$115.82	$168.78	$228.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.39 / $106.57 / $205.35	Professional	26	$99.39	$106.57	$205.35