Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $350.03 / $350.03 / $386.68	Facility	26	$350.03	$350.03	$386.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $441.55 / $515.98 / $685.79	Facility	26	$441.55	$515.98	$685.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $753.90 / $753.90 / $753.90	Facility	26	$753.90	$753.90	$753.90
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $399.18 / $753.90 / $753.90	Facility	26	$399.18	$753.90	$753.90