Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.73 / $82.04 / $82.04	Facility	26	$58.73	$82.04	$82.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.73 / $120.05 / $159.55	Facility	26	$102.73	$120.05	$159.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $175.59 / $175.59 / $175.59	Facility	26	$175.59	$175.59	$175.59
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $175.59 / $175.59	Facility	26	$100.00	$175.59	$175.59