Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $204.17 / $398.11	Facility	26	$204.17	$204.17	$398.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $275.42 / $323.59 / $512.86	Facility	26	$275.42	$323.59	$512.86
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $707.95 / $707.95	Facility	26	$245.47	$707.95	$707.95