Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $168.04 / $168.04 / $322.00	Facility	26	$168.04	$168.04	$322.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $226.18 / $264.31 / $405.46	Facility	26	$226.18	$264.31	$405.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $392.09 / $392.09 / $392.09	Facility	26	$392.09	$392.09	$392.09
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $205.00 / $392.09 / $392.09	Facility	26	$205.00	$392.09	$392.09