Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.33 / $121.50 / $242.91	Facility	26	$84.33	$121.50	$242.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.95 / $78.95 / $78.95	Facility	26	$78.95	$78.95	$78.95
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $78.95 / $78.95 / $78.95	Facility	26	$78.95	$78.95	$78.95
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $127.81 / $127.81 / $558.41	Facility	26	$127.81	$127.81	$558.41