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 / $236.88	Facility	26	$100.00	$100.00	$236.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $329.94 / $926.50	Professional	26	$100.00	$329.94	$926.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.93 / $174.22 / $735.07	Professional	26	$109.93	$174.22	$735.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $294.67 / $334.85 / $528.23	Facility	26	$294.67	$334.85	$528.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $163.19 / $394.81 / $448.65	Professional	26	$163.19	$394.81	$448.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,488.00 / $1,488.00 / $1,488.00	Facility	26	$1,488.00	$1,488.00	$1,488.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $121.62 / $252.26 / $1,192.32	Professional	26	$121.62	$252.26	$1,192.32
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $1,053.11 / $1,053.11 / $1,053.11	Facility	26	$1,053.11	$1,053.11	$1,053.11
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $166.29 / $589.35 / $1,192.32	Professional	26	$166.29	$589.35	$1,192.32
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $228.76 / $233.66 / $653.19	Professional	26	$228.76	$233.66	$653.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.00 / $226.23 / $523.60	Professional	26	$95.00	$226.23	$523.60