Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $190.55	Facility	26	$134.90	$134.90	$190.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $275.42 / $436.52	Facility	26	$234.42	$275.42	$436.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	26	$1,071.52	$1,071.52	$1,071.52
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $1,071.52 / $1,071.52	Facility	26	$213.80	$1,071.52	$1,071.52