Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $169.82 / $239.88	Facility	26	$100.00	$169.82	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $177.83 / $933.25	Professional	26	$100.00	$177.83	$933.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $173.78 / $645.65	Professional	26	$109.65	$173.78	$645.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $346.74 / $562.34	Facility	26	$295.12	$346.74	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $398.11 / $467.74	Professional	26	$169.82	$398.11	$467.74
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $263.03 / $316.23	Professional	26	$223.87	$263.03	$316.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $245.47 / $1,202.26	Professional	26	$123.03	$245.47	$1,202.26
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $263.03 / $1,047.13 / $1,047.13	Facility	26	$263.03	$1,047.13	$1,047.13
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $588.84 / $1,202.26	Professional	26	$165.96	$588.84	$1,202.26
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $251.19 / $691.83	Professional	26	$229.09	$251.19	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $234.42 / $512.86	Professional	26	$120.23	$234.42	$512.86