Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,044.30 / $1,227.05 / $1,227.05	Professional		$1,044.30	$1,227.05	$1,227.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $787.78 / $5,400.98	Professional		$201.36	$787.78	$5,400.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,986.50 / $1,986.50 / $1,986.50	Facility		$1,986.50	$1,986.50	$1,986.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,592.77 / $4,198.43 / $6,440.50	Facility		$3,592.77	$4,198.43	$6,440.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,402.86 / $3,515.11 / $3,994.44	Professional		$1,402.86	$3,515.11	$3,994.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,005.13 / $1,566.44 / $4,568.80	Facility		$1,005.13	$1,566.44	$4,568.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,005.13 / $1,566.44 / $4,568.80	Facility		$1,005.13	$1,566.44	$4,568.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $652.69 / $783.22 / $4,025.57	Professional		$652.69	$783.22	$4,025.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,005.13 / $1,566.44 / $4,568.80	Facility		$1,005.13	$1,566.44	$4,568.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,179.44 / $3,112.97 / $4,366.14	Professional		$2,179.44	$3,112.97	$4,366.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,610.73 / $6,200.51 / $6,200.51	Facility		$2,610.73	$6,200.51	$6,200.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,221.47 / $5,221.47 / $6,500.74	Professional		$5,221.47	$5,221.47	$6,500.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,779.84 / $2,779.84 / $2,779.84	Professional		$2,779.84	$2,779.84	$2,779.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,127.32 / $7,127.32 / $7,127.32	Professional		$7,127.32	$7,127.32	$7,127.32
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $783.22 / $2,741.28	Professional		$548.26	$783.22	$2,741.28