Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $316.58 / $316.58 / $344.91	Facility	26	$316.58	$316.58	$344.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $401.00 / $468.60 / $622.80	Facility	26	$401.00	$468.60	$622.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $681.22 / $681.22 / $681.22	Facility	26	$681.22	$681.22	$681.22
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $361.98 / $681.22 / $681.22	Facility	26	$361.98	$681.22	$681.22