Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $184.07	Facility	26	$100.00	$100.00	$184.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.41 / $100.00 / $567.29	Professional	26	$89.41	$100.00	$567.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.31 / $135.31 / $549.88	Professional	26	$85.31	$135.31	$549.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $230.69 / $262.14 / $413.54	Facility	26	$230.69	$262.14	$413.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $126.80 / $307.88 / $349.86	Professional	26	$126.80	$307.88	$349.86
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $94.55 / $191.44 / $427.30	Professional	26	$94.55	$191.44	$427.30
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $392.09 / $392.09 / $392.09	Facility	26	$392.09	$392.09	$392.09
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $129.66 / $457.10 / $554.45	Professional	26	$129.66	$457.10	$554.45
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $204.02 / $240.03 / $417.29	Professional	26	$204.02	$240.03	$417.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.55 / $182.84 / $389.80	Professional	26	$94.55	$182.84	$389.80