Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.42 / $109.99 / $175.87	Facility	26	$81.42	$109.99	$175.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.61 / $142.61 / $142.61	Facility	26	$142.61	$142.61	$142.61
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $896.96 / $1,133.76 / $1,169.20	Facility	26	$896.96	$1,133.76	$1,169.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $142.61 / $142.61 / $142.61	Facility	26	$142.61	$142.61	$142.61