Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.31 / $111.62 / $111.62	Facility	26	$80.31	$111.62	$111.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.77 / $162.16 / $215.53	Facility	26	$138.77	$162.16	$215.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $252.69 / $252.69 / $252.69	Facility	26	$252.69	$252.69	$252.69
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $126.58 / $252.69 / $252.69	Facility	26	$126.58	$252.69	$252.69