Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $151.36	Facility	26	$72.44	$72.44	$151.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $125.89 / $199.53	Facility	26	$107.15	$125.89	$199.53
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $257.04	Facility	26	$93.33	$93.33	$257.04