Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.63 / $194.63 / $372.21	Facility	26	$194.63	$194.63	$372.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $262.23 / $306.43 / $470.07	Facility	26	$262.23	$306.43	$470.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $460.02 / $460.02 / $460.02	Facility	26	$460.02	$460.02	$460.02
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $237.98 / $460.02 / $460.02	Facility	26	$237.98	$460.02	$460.02