Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $54.95	Facility	26	$38.90	$38.90	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $79.43 / $128.82	Facility	26	$69.18	$79.43	$128.82
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $169.82 / $169.82	Facility	26	$100.00	$169.82	$169.82