Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $210.33 / $210.33 / $233.39	Facility	26	$210.33	$210.33	$233.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $263.13 / $307.48 / $408.67	Facility	26	$263.13	$307.48	$408.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $455.64 / $455.64 / $455.64	Facility	26	$455.64	$455.64	$455.64
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $238.63 / $455.64 / $455.64	Facility	26	$238.63	$455.64	$455.64