Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $194.98 / $371.54	Facility	26	$194.98	$194.98	$371.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $263.03 / $309.03 / $489.78	Facility	26	$263.03	$309.03	$489.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $457.09 / $457.09 / $457.09	Facility	26	$457.09	$457.09	$457.09
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $630.96 / $630.96	Facility	26	$234.42	$630.96	$630.96