Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,326.29 / $6,461.00 / $14,482.00	Facility		$3,326.29	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,326.29 / $3,447.25 / $8,215.56	Professional		$3,326.29	$3,447.25	$8,215.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,082.83 / $6,183.79 / $18,123.37	Professional		$1,082.83	$6,183.79	$18,123.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32,127.63 / $37,543.68 / $60,556.62	Facility		$32,127.63	$37,543.68	$60,556.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,933.79 / $2,197.48 / $16,712.34	Professional		$1,933.79	$2,197.48	$16,712.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,312.52 / $5,038.49 / $8,439.31	Facility		$1,312.52	$5,038.49	$8,439.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,038.49 / $12,365.00 / $22,691.00	Facility		$5,038.49	$12,365.00	$22,691.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,296.82 / $3,302.31 / $6,426.09	Professional		$1,296.82	$3,302.31	$6,426.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $4,011.73	Professional		$50.00	$58.40	$4,011.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,312.52 / $5,038.49 / $8,439.31	Facility		$1,312.52	$5,038.49	$8,439.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,706.08 / $12,613.70 / $17,590.09	Professional		$3,706.08	$12,613.70	$17,590.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $74,877.44 / $74,877.44 / $74,877.44	Facility		$74,877.44	$74,877.44	$74,877.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24,063.21 / $42,787.04 / $42,787.04	Professional		$24,063.21	$42,787.04	$42,787.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61,610.20 / $61,610.20 / $61,610.20	Professional		$61,610.20	$61,610.20	$61,610.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56,835.60 / $56,835.60 / $65,066.91	Professional		$56,835.60	$56,835.60	$65,066.91
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $14,566.00 / $19,562.00	Facility		$8,452.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,296.82 / $4,059.87 / $6,426.09	Professional		$1,296.82	$4,059.87	$6,426.09