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 / $211.97	Facility	26	$100.00	$100.00	$211.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $100.00 / $265.00	Professional	26	$90.00	$100.00	$265.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.12 / $155.62 / $662.47	Professional	26	$99.12	$155.62	$662.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $264.93 / $301.06 / $474.92	Facility	26	$264.93	$301.06	$474.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $146.03 / $354.48 / $402.81	Professional	26	$146.03	$354.48	$402.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $108.63 / $229.70 / $1,192.32	Professional	26	$108.63	$229.70	$1,192.32
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $945.52 / $945.52 / $945.52	Facility	26	$945.52	$945.52	$945.52
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $149.29 / $525.50 / $1,192.32	Professional	26	$149.29	$525.50	$1,192.32
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $207.47 / $221.70 / $590.94	Professional	26	$207.47	$221.70	$590.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.63 / $219.34 / $452.11	Professional	26	$108.63	$219.34	$452.11