Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.83 / $70.70 / $122.75	Facility	26	$56.83	$70.70	$122.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.40 / $100.40 / $100.40	Facility	26	$100.40	$100.40	$100.40
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $204.35 / $425.03 / $425.03	Facility	26	$204.35	$425.03	$425.03
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $100.40 / $100.40 / $100.40	Facility	26	$100.40	$100.40	$100.40