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 / $186.98	Facility	26	$100.00	$100.00	$186.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.27 / $100.00 / $249.30	Professional	26	$91.27	$100.00	$249.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.07 / $135.74 / $580.89	Professional	26	$87.07	$135.74	$580.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $234.29 / $266.24 / $420.00	Facility	26	$234.29	$266.24	$420.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.80 / $312.77 / $355.43	Professional	26	$128.80	$312.77	$355.43
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $94.92 / $198.52 / $1,192.32	Professional	26	$94.92	$198.52	$1,192.32
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $834.64 / $834.64 / $834.64	Facility	26	$834.64	$834.64	$834.64
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $131.72 / $459.10 / $1,192.32	Professional	26	$131.72	$459.10	$1,192.32
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $152.86 / $179.83 / $515.03	Professional	26	$152.86	$179.83	$515.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.92 / $186.08 / $393.46	Professional	26	$94.92	$186.08	$393.46