Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $167.84 / $167.84 / $322.56	Facility	26	$167.84	$167.84	$322.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $225.28 / $263.26 / $403.84	Facility	26	$225.28	$263.26	$403.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $396.63 / $396.63 / $396.63	Facility	26	$396.63	$396.63	$396.63
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $205.35 / $396.63 / $396.63	Facility	26	$205.35	$396.63	$396.63