Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $562.34 / $562.34 / $1,047.13	Facility	26	$562.34	$562.34	$1,047.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $741.31 / $870.96 / $1,380.38	Facility	26	$741.31	$870.96	$1,380.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $2,187.76 / $2,754.23 / $2,754.23	Facility	26	$2,187.76	$2,754.23	$2,754.23
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $2,691.53 / $2,691.53	Facility	26	$660.69	$2,691.53	$2,691.53