Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.45 / $102.30 / $200.01	Facility	26	$83.45	$102.30	$200.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.70 / $80.70 / $80.70	Facility	26	$80.70	$80.70	$80.70
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $80.70 / $80.70 / $80.70	Facility	26	$80.70	$80.70	$80.70
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $96.23 / $96.23 / $354.77	Facility	26	$96.23	$96.23	$354.77