Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.60 / $190.28 / $190.28	Facility	26	$135.60	$190.28	$190.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $236.09 / $275.89 / $423.23	Facility	26	$236.09	$275.89	$423.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,072.58 / $1,072.58 / $1,072.58	Facility	26	$1,072.58	$1,072.58	$1,072.58
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $216.00 / $1,072.58 / $1,072.58	Facility	26	$216.00	$1,072.58	$1,072.58