Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $556.21 / $556.21 / $1,057.35	Facility	26	$556.21	$556.21	$1,057.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $744.33 / $869.80 / $1,334.30	Facility	26	$744.33	$869.80	$1,334.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $2,208.08 / $2,772.64 / $2,772.64	Facility	26	$2,208.08	$2,772.64	$2,772.64
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $377.06 / $2,772.64 / $2,772.64	Facility	26	$377.06	$2,772.64	$2,772.64