Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $243.03 / $243.03 / $465.32	Facility	26	$243.03	$243.03	$465.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $328.91 / $384.36 / $589.61	Facility	26	$328.91	$384.36	$589.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,169.20 / $1,169.20 / $1,169.20	Facility	26	$1,169.20	$1,169.20	$1,169.20
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $298.80 / $1,169.20 / $1,169.20	Facility	26	$298.80	$1,169.20	$1,169.20