Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $171.02 / $171.02 / $191.16	Facility	26	$171.02	$171.02	$191.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $215.37 / $251.67 / $334.50	Facility	26	$215.37	$251.67	$334.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $767.44 / $767.44 / $767.44	Facility	26	$767.44	$767.44	$767.44
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $195.03 / $767.44 / $767.44	Facility	26	$195.03	$767.44	$767.44