Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $162.18	Facility	26	$114.82	$114.82	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $234.42 / $371.54	Facility	26	$199.53	$234.42	$371.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	26	$346.74	$346.74	$346.74
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $489.78 / $489.78	Facility	26	$177.83	$489.78	$489.78