Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $454.22 / $454.22 / $866.32	Facility	26	$454.22	$454.22	$866.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $608.26 / $710.80 / $1,090.38	Facility	26	$608.26	$710.80	$1,090.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,811.20 / $2,263.28 / $2,263.28	Facility	26	$1,811.20	$2,263.28	$2,263.28
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $308.94 / $2,263.28 / $2,263.28	Facility	26	$308.94	$2,263.28	$2,263.28