Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,705.86 / $8,243.00 / $14,482.00	Facility		$3,705.86	$8,243.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,705.86 / $6,065.80 / $11,476.16	Professional		$3,705.86	$6,065.80	$11,476.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,823.00 / $26,530.00	Facility		$12,080.00	$16,823.00	$26,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,368.36 / $11,462.40 / $36,487.83	Professional		$5,368.36	$11,462.40	$36,487.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29,180.97 / $34,100.26 / $55,002.53	Facility		$29,180.97	$34,100.26	$55,002.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.41 / $12,292.88 / $16,856.91	Professional		$762.41	$12,292.88	$16,856.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $666.79 / $5,613.43 / $21,251.03	Facility		$666.79	$5,613.43	$21,251.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,303.27 / $12,365.00 / $22,691.00	Facility		$1,303.27	$12,365.00	$22,691.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11,361.23 / $31,357.20 / $47,741.20	Professional		$11,361.23	$31,357.20	$47,741.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $35,908.00	Professional		$50.00	$58.40	$35,908.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $666.79 / $5,613.43 / $21,251.03	Facility		$666.79	$5,613.43	$21,251.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,495.14 / $17,678.02 / $25,087.68	Professional		$9,495.14	$17,678.02	$25,087.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50,088.08 / $50,088.08 / $50,088.08	Facility		$50,088.08	$50,088.08	$50,088.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22,870.75 / $47,741.20 / $47,741.20	Professional		$22,870.75	$47,741.20	$47,741.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,288.75 / $3,288.75 / $53,626.36	Professional		$3,288.75	$3,288.75	$53,626.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.52 / $56,635.12 / $74,526.87	Professional		$4,570.52	$56,635.12	$74,526.87
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 $11,361.23 / $31,357.20 / $45,278.37	Professional		$11,361.23	$31,357.20	$45,278.37