Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.08 / $100.43 / $140.08	Facility	26	$76.08	$100.43	$140.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.38 / $88.38 / $88.38	Facility	26	$88.38	$88.38	$88.38
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $88.38 / $88.38 / $88.38	Facility	26	$88.38	$88.38	$88.38
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $91.28 / $91.28 / $288.36	Facility	26	$91.28	$91.28	$288.36