Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.90 / $105.90 / $204.39	Facility	26	$105.90	$105.90	$204.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $143.28 / $167.43 / $256.83	Facility	26	$143.28	$167.43	$256.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.65 / $256.38 / $256.38	Facility	26	$128.65	$256.38	$256.38
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $72.89 / $256.38 / $256.38	Facility	26	$72.89	$256.38	$256.38