Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.25 / $135.07 / $135.07	Facility	26	$96.25	$135.07	$135.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $167.61 / $195.86 / $260.32	Facility	26	$167.61	$195.86	$260.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $303.95 / $303.95 / $303.95	Facility	26	$303.95	$303.95	$303.95
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $152.85 / $303.95 / $303.95	Facility	26	$152.85	$303.95	$303.95