Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.50 / $221.04 / $366.00	Facility	26	$112.50	$221.04	$366.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.34 / $179.34 / $179.34	Facility	26	$179.34	$179.34	$179.34
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $179.34 / $179.34 / $179.34	Facility	26	$179.34	$179.34	$179.34
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $182.42 / $182.42 / $517.21	Facility	26	$182.42	$182.42	$517.21