Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $169.82 / $190.55	Facility	26	$169.82	$169.82	$190.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $251.19 / $398.11	Facility	26	$213.80	$251.19	$398.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $741.31 / $741.31	Facility	26	$190.55	$741.31	$741.31