Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.65 / $112.54 / $161.02	Facility	26	$67.65	$112.54	$161.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.40 / $100.40 / $100.40	Facility	26	$100.40	$100.40	$100.40
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $100.40 / $100.40 / $100.40	Facility	26	$100.40	$100.40	$100.40
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $121.05 / $121.05 / $245.87	Facility	26	$121.05	$121.05	$245.87