Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $114.82 / $190.55	Facility	26	$100.00	$114.82	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $125.89 / $331.13	Professional	26	$91.20	$125.89	$331.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $138.04 / $524.81	Professional	26	$89.13	$138.04	$524.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $281.84 / $446.68	Facility	26	$239.88	$281.84	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $316.23 / $371.54	Professional	26	$134.90	$316.23	$371.54
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $208.93 / $251.19	Professional	26	$181.97	$208.93	$251.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $194.98 / $1,479.11	Professional	26	$97.72	$194.98	$1,479.11
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $954.99 / $954.99	Facility	26	$213.80	$954.99	$954.99
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $467.74 / $1,513.56	Professional	26	$131.83	$467.74	$1,513.56
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $204.17 / $549.54	Professional	26	$186.21	$204.17	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $186.21 / $407.38	Professional	26	$97.72	$186.21	$407.38