Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.38 / $202.13 / $281.24	Facility	26	$153.38	$202.13	$281.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $178.90 / $178.90 / $178.90	Facility	26	$178.90	$178.90	$178.90
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $178.90 / $178.90 / $178.90	Facility	26	$178.90	$178.90	$178.90
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $183.27 / $183.27 / $510.62	Facility	26	$183.27	$183.27	$510.62