Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.90 / $115.61 / $115.61	Facility	26	$83.90	$115.61	$115.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.08 / $169.54 / $225.33	Facility	26	$145.08	$169.54	$225.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $248.27 / $248.27 / $248.27	Facility	26	$248.27	$248.27	$248.27
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $131.68 / $248.27 / $248.27	Facility	26	$131.68	$248.27	$248.27