Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $125.89 / $173.78	Facility	26	$107.15	$125.89	$173.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $91.20 / $128.82	Facility	26	$19.50	$91.20	$128.82
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $144.54 / $575.44	Facility	26	$64.57	$144.54	$575.44