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 / $239.38	Facility	26	$100.00	$100.00	$239.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $116.14 / $952.00	Professional	26	$93.63	$116.14	$952.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.89 / $176.40 / $743.78	Professional	26	$110.89	$176.40	$743.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $298.27 / $338.94 / $534.69	Facility	26	$298.27	$338.94	$534.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $164.91 / $399.41 / $453.88	Professional	26	$164.91	$399.41	$453.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $122.70 / $257.83 / $1,192.32	Professional	26	$122.70	$257.83	$1,192.32
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $1,063.59 / $1,063.59 / $1,063.59	Facility	26	$1,063.59	$1,063.59	$1,063.59
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $168.22 / $595.04 / $1,192.32	Professional	26	$168.22	$595.04	$1,192.32
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $231.59 / $250.61 / $659.30	Professional	26	$231.59	$250.61	$659.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $122.70 / $230.64 / $507.48	Professional	26	$122.70	$230.64	$507.48