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 / $190.67	Facility	26	$100.00	$100.00	$190.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.41 / $100.00 / $521.04	Professional	26	$92.41	$100.00	$521.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.26 / $140.49 / $585.44	Professional	26	$88.26	$140.49	$585.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $239.70 / $272.38 / $429.69	Facility	26	$239.70	$272.38	$429.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.35 / $320.18 / $363.84	Professional	26	$131.35	$320.18	$363.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $97.60 / $205.46 / $1,463.88	Professional	26	$97.60	$205.46	$1,463.88
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $853.92 / $853.92 / $853.92	Facility	26	$853.92	$853.92	$853.92
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $134.85 / $463.70 / $1,463.88	Professional	26	$134.85	$463.70	$1,463.88
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $186.99 / $202.42 / $534.62	Professional	26	$186.99	$202.42	$534.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.60 / $193.50 / $406.43	Professional	26	$97.60	$193.50	$406.43