Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,577.97 / $11,139.00 / $17,823.00	Facility		$5,577.97	$11,139.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,234.88 / $5,577.97 / $12,923.66	Professional		$2,234.88	$5,577.97	$12,923.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $17,403.00 / $23,778.77	Facility		$13,123.00	$17,403.00	$23,778.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.86 / $9,790.40 / $28,693.57	Professional		$747.86	$9,790.40	$28,693.57
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 $1,334.61 / $1,516.60 / $16,712.34	Professional		$1,334.61	$1,516.60	$16,712.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $906.49 / $8,449.21 / $22,519.77	Facility		$906.49	$8,449.21	$22,519.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $13,189.00 / $22,691.00	Facility		$7,775.00	$13,189.00	$22,691.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $994.39 / $2,532.29 / $7,678.78	Professional		$994.39	$2,532.29	$7,678.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $2,808.60	Professional		$50.00	$58.40	$2,808.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $906.49 / $8,449.21 / $22,519.77	Facility		$906.49	$8,449.21	$22,519.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,031.00 / $19,842.25 / $27,670.50	Professional		$5,031.00	$19,842.25	$27,670.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $80,215.24 / $80,215.24 / $80,215.24	Facility		$80,215.24	$80,215.24	$80,215.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42,687.90 / $72,030.24 / $72,030.24	Professional		$42,687.90	$72,030.24	$72,030.24
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 $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $994.39 / $2,976.40 / $14,444.21	Professional		$994.39	$2,976.40	$14,444.21