Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.50 / $203.50 / $362.14	Facility	26	$112.50	$203.50	$362.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.08 / $172.08 / $172.08	Facility	26	$172.08	$172.08	$172.08
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $172.08 / $172.08 / $172.08	Facility	26	$172.08	$172.08	$172.08
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $176.83 / $176.83 / $466.24	Facility	26	$176.83	$176.83	$466.24