Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $46.77	Facility	26	$33.11	$33.11	$46.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $67.61 / $107.15	Facility	26	$57.54	$67.61	$107.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $147.91 / $147.91	Facility	26	$100.00	$147.91	$147.91