Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.62 / $158.76 / $158.76	Facility	26	$113.62	$158.76	$158.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $197.35 / $230.61 / $306.50	Facility	26	$197.35	$230.61	$306.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $352.14 / $352.14 / $352.14	Facility	26	$352.14	$352.14	$352.14
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $179.68 / $352.14 / $352.14	Facility	26	$179.68	$352.14	$352.14