Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.49 / $85.77 / $85.77	Facility	26	$60.49	$85.77	$85.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.33 / $124.26 / $165.15	Facility	26	$106.33	$124.26	$165.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $193.75 / $193.75 / $193.75	Facility	26	$193.75	$193.75	$193.75
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $193.75 / $193.75	Facility	26	$100.00	$193.75	$193.75