Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $134.90 / $199.53	Facility	26	$120.23	$134.90	$199.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	26	$173.78	$173.78	$173.78
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $239.88	Facility	26	$100.00	$100.00	$239.88