Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $422.45 / $422.45 / $812.99	Facility	26	$422.45	$422.45	$812.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $571.30 / $667.62 / $1,076.84	Facility	26	$571.30	$667.62	$1,076.84
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $2,130.23 / $2,130.23 / $2,130.23	Facility	26	$2,130.23	$2,130.23	$2,130.23