Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,791.70 / $3,280.25 / $3,280.25	Professional		$2,791.70	$3,280.25	$3,280.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $1,044.00 / $14,438.39	Professional		$200.00	$1,044.00	$14,438.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,309.79 / $5,309.79 / $5,309.79	Facility		$5,309.79	$5,309.79	$5,309.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,603.24 / $11,222.14 / $17,215.05	Facility		$9,603.24	$11,222.14	$17,215.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,750.10 / $9,396.87 / $10,678.26	Professional		$3,750.10	$9,396.87	$10,678.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,687.02 / $4,187.56 / $12,213.71	Facility		$2,687.02	$4,187.56	$12,213.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,687.02 / $4,187.56 / $12,213.71	Facility		$2,687.02	$4,187.56	$12,213.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,744.82 / $2,093.78 / $10,761.50	Professional		$1,744.82	$2,093.78	$10,761.50
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 $2,687.02 / $4,187.56 / $12,213.71	Facility		$2,687.02	$4,187.56	$12,213.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,825.52 / $8,320.78 / $11,670.46	Professional		$5,825.52	$8,320.78	$11,670.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,979.26 / $16,575.74 / $16,575.74	Facility		$6,979.26	$16,575.74	$16,575.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13,958.52 / $13,958.52 / $17,378.36	Professional		$13,958.52	$13,958.52	$17,378.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,431.32 / $7,431.32 / $7,431.32	Professional		$7,431.32	$7,431.32	$7,431.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19,053.38 / $19,053.38 / $19,053.38	Professional		$19,053.38	$19,053.38	$19,053.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,465.64 / $2,093.78 / $6,495.60	Professional		$1,465.64	$2,093.78	$6,495.60