Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.69 / $97.48 / $254.22	Facility	26	$63.69	$97.48	$254.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $89.78 / $89.78 / $122.79	Facility	26	$89.78	$89.78	$122.79