Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.31 / $108.30 / $177.42	Facility	26	$68.31	$108.30	$177.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.50 / $87.50 / $87.50	Facility	26	$87.50	$87.50	$87.50
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $87.50 / $87.50 / $87.50	Facility	26	$87.50	$87.50	$87.50
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $88.75 / $88.75 / $259.36	Facility	26	$88.75	$88.75	$259.36