Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $104.71 / $204.17	Facility	26	$104.71	$104.71	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $165.96 / $269.15	Facility	26	$144.54	$165.96	$269.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $257.04 / $257.04	Facility	26	$128.82	$257.04	$257.04
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $346.74 / $346.74	Facility	26	$128.82	$346.74	$346.74