Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.50 / $105.80 / $105.80	Facility	26	$76.50	$105.80	$105.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.46 / $154.80 / $205.74	Facility	26	$132.46	$154.80	$205.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $238.74 / $238.74 / $238.74	Facility	26	$238.74	$238.74	$238.74
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $120.45 / $238.74 / $238.74	Facility	26	$120.45	$238.74	$238.74