Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,823.36 / $9,409.04 / $16,769.00	Facility		$5,823.36	$9,409.04	$16,769.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,222.88 / $5,823.36 / $16,610.30	Professional		$3,222.88	$5,823.36	$16,610.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,511.66 / $10,429.90 / $27,349.83	Professional		$4,511.66	$10,429.90	$27,349.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,714.56 / $13,689.39 / $22,080.50	Facility		$11,714.56	$13,689.39	$22,080.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,891.78 / $14,162.80 / $18,818.68	Professional		$8,891.78	$14,162.80	$18,818.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,599.97 / $7,290.69 / $10,356.50	Facility		$4,599.97	$7,290.69	$10,356.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $5,284.16 / $10,356.50	Facility		$2,678.00	$5,284.16	$10,356.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,567.46 / $13,960.76 / $27,166.80	Professional		$5,567.46	$13,960.76	$27,166.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $266.53 / $3,280.83 / $10,227.72	Professional		$266.53	$3,280.83	$10,227.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,599.97 / $7,290.69 / $10,356.50	Facility		$4,599.97	$7,290.69	$10,356.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,404.85 / $14,522.54 / $19,041.18	Professional		$9,404.85	$14,522.54	$19,041.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $116,241.09 / $116,241.09 / $116,241.09	Facility		$116,241.09	$116,241.09	$116,241.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19,255.14 / $36,883.33 / $36,883.33	Professional		$19,255.14	$36,883.33	$36,883.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23,971.81 / $23,971.81 / $23,971.81	Professional		$23,971.81	$23,971.81	$23,971.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21,364.82 / $31,736.46 / $31,736.46	Professional		$21,364.82	$31,736.46	$31,736.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,529.01 / $15,346.65 / $22,740.95	Professional		$5,529.01	$15,346.65	$22,740.95