Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $233.33 / $252.11 / $268.32	Facility	26	$233.33	$252.11	$268.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $314.49 / $367.51 / $488.45	Facility	26	$314.49	$367.51	$488.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,122.16 / $1,122.16 / $1,122.16	Facility	26	$1,122.16	$1,122.16	$1,122.16
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $285.60 / $1,122.16 / $1,122.16	Facility	26	$285.60	$1,122.16	$1,122.16