Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.70 / $48.70 / $167.70	Facility	26	$48.70	$48.70	$167.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.95 / $139.00 / $184.74	Facility	26	$118.95	$139.00	$184.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $219.84 / $219.84 / $219.84	Facility	26	$219.84	$219.84	$219.84
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $107.58 / $219.84 / $219.84	Facility	26	$107.58	$219.84	$219.84