Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $27.09 / $27.09	Facility	26	$19.50	$27.09	$27.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.24 / $40.02 / $53.18	Facility	26	$34.24	$40.02	$53.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $115.00 / $115.00 / $115.00	Facility	26	$115.00	$115.00	$115.00
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $115.00 / $115.00	Facility	26	$100.00	$115.00	$115.00