Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.33 / $128.81 / $216.06	Facility	26	$81.33	$128.81	$216.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.76 / $106.76 / $106.76	Facility	26	$106.76	$106.76	$106.76
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $106.76 / $106.76 / $106.76	Facility	26	$106.76	$106.76	$106.76
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $107.75 / $107.75 / $324.20	Facility	26	$107.75	$107.75	$324.20