Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $269.15 / $269.15	Facility	26	$234.42	$269.15	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $316.23 / $371.54 / $588.84	Facility	26	$316.23	$371.54	$588.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	26	$1,122.02	$1,122.02	$1,122.02
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $281.84 / $1,096.48 / $1,096.48	Facility	26	$281.84	$1,096.48	$1,096.48