Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.66 / $199.30 / $278.67	Facility	26	$151.66	$199.30	$278.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.92 / $179.92 / $179.92	Facility	26	$179.92	$179.92	$179.92
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $179.92 / $179.92 / $179.92	Facility	26	$179.92	$179.92	$179.92
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $285.32 / $285.32 / $829.59	Facility	26	$285.32	$285.32	$829.59