Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.68 / $89.46 / $155.00	Facility	26	$53.68	$89.46	$155.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.73 / $80.73 / $80.73	Facility	26	$80.73	$80.73	$80.73
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $80.73 / $80.73 / $80.73	Facility	26	$80.73	$80.73	$80.73
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $80.98 / $80.98 / $212.44	Facility	26	$80.98	$80.98	$212.44