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 / $144.50	Facility	26	$100.00	$100.00	$144.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.11 / $100.00 / $350.00	Professional	26	$70.11	$100.00	$350.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.92 / $105.28 / $446.43	Professional	26	$66.92	$105.28	$446.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $180.22 / $204.80 / $323.08	Facility	26	$180.22	$204.80	$323.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.55 / $241.27 / $274.18	Professional	26	$99.55	$241.27	$274.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.26 / $153.91 / $3,244.00	Professional	26	$73.26	$153.91	$3,244.00
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $642.55 / $642.55 / $642.55	Facility	26	$642.55	$642.55	$642.55
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $101.63 / $355.75 / $3,244.00	Professional	26	$101.63	$355.75	$3,244.00
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $137.43 / $303.45 / $391.72	Professional	26	$137.43	$303.45	$391.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.26 / $142.30 / $302.93	Professional	26	$73.26	$142.30	$302.93