Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $623.22 / $623.22 / $1,202.92	Facility	26	$623.22	$623.22	$1,202.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $844.35 / $986.69 / $1,591.49	Facility	26	$844.35	$986.69	$1,591.49
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $3,147.76 / $3,147.76 / $3,147.76	Facility	26	$3,147.76	$3,147.76	$3,147.76