Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $81.28	Facility	26	$57.54	$57.54	$81.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $120.23 / $190.55	Facility	26	$102.33	$120.23	$190.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	26	$173.78	$173.78	$173.78
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $239.88 / $239.88	Facility	26	$100.00	$239.88	$239.88