Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.95 / $100.00 / $100.00	Facility	26	$60.95	$100.00	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.69 / $90.00 / $100.00	Professional	26	$29.69	$90.00	$100.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.32 / $45.65 / $182.35	Professional	26	$28.32	$45.65	$182.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.59 / $87.04 / $137.31	Facility	26	$76.59	$87.04	$137.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.99 / $101.42 / $115.25	Professional	26	$41.99	$101.42	$115.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $64.30 / $144.06	Professional	26	$31.76	$64.30	$144.06
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $130.19 / $130.19 / $130.19	Facility	26	$130.19	$130.19	$130.19
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $42.72 / $154.25 / $183.60	Professional	26	$42.72	$154.25	$183.60
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $68.84 / $81.01 / $139.75	Professional	26	$68.84	$81.01	$139.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $61.66 / $131.50	Professional	26	$31.76	$61.66	$131.50