Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $143.43 / $202.46 / $202.46	Facility	26	$143.43	$202.46	$202.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.41 / $293.80 / $450.69	Facility	26	$251.41	$293.80	$450.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $454.15 / $454.15 / $454.15	Facility	26	$454.15	$454.15	$454.15
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $113.90 / $454.15 / $454.15	Facility	26	$113.90	$454.15	$454.15