Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.96 / $135.19 / $135.19	Facility	26	$98.96	$135.19	$135.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.41 / $197.97 / $263.12	Facility	26	$169.41	$197.97	$263.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $296.70 / $296.70 / $296.70	Facility	26	$296.70	$296.70	$296.70
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $154.30 / $296.70 / $296.70	Facility	26	$154.30	$296.70	$296.70