Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $112.20 / $158.49	Facility	26	$112.20	$112.20	$158.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $229.09 / $371.54	Facility	26	$199.53	$229.09	$371.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $478.63 / $478.63	Facility	26	$177.83	$478.63	$478.63