Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.01 / $151.77 / $254.01	Facility	26	$90.01	$151.77	$254.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.86 / $131.86 / $131.86	Facility	26	$131.86	$131.86	$131.86
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $131.86 / $131.86 / $131.86	Facility	26	$131.86	$131.86	$131.86
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $132.12 / $132.12 / $354.91	Facility	26	$132.12	$132.12	$354.91