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 / $175.39	Facility	26	$100.00	$100.00	$175.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.56 / $100.00 / $130.50	Professional	26	$85.56	$100.00	$130.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.59 / $132.16 / $546.27	Professional	26	$81.59	$132.16	$546.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $221.68 / $251.90 / $397.38	Facility	26	$221.68	$251.90	$397.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.82 / $295.63 / $335.94	Professional	26	$120.82	$295.63	$335.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $94.07 / $198.06 / $2,660.92	Professional	26	$94.07	$198.06	$2,660.92
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $1,566.00 / $1,566.00 / $1,566.00	Facility	26	$1,566.00	$1,566.00	$1,566.00
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $124.51 / $431.05 / $2,660.92	Professional	26	$124.51	$431.05	$2,660.92
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $155.13 / $1,122.89 / $1,122.89	Professional	26	$155.13	$1,122.89	$1,122.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.78 / $178.25 / $377.82	Professional	26	$88.78	$178.25	$377.82