Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $317.85 / $317.85 / $606.66	Facility	26	$317.85	$317.85	$606.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $426.23 / $498.08 / $764.07	Facility	26	$426.23	$498.08	$764.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,268.32 / $1,587.28 / $1,587.28	Facility	26	$1,268.32	$1,587.28	$1,587.28
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $216.34 / $1,587.28 / $1,587.28	Facility	26	$216.34	$1,587.28	$1,587.28