Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,940.00 / $3,454.50 / $3,454.50	Professional		$2,940.00	$3,454.50	$3,454.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $14,700.00	Professional		$208.00	$208.00	$14,700.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,591.82 / $5,591.82 / $5,591.82	Facility		$5,591.82	$5,591.82	$5,591.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,113.27 / $11,818.16 / $18,129.34	Facility		$10,113.27	$11,818.16	$18,129.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,349.60 / $9,896.04 / $11,245.50	Professional		$4,349.60	$9,896.04	$11,245.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,829.75 / $4,410.00 / $12,862.50	Facility		$2,829.75	$4,410.00	$12,862.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,829.75 / $4,410.00 / $12,862.50	Facility		$2,829.75	$4,410.00	$12,862.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,837.50 / $2,205.00 / $11,333.15	Professional		$1,837.50	$2,205.00	$11,333.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,829.75 / $4,410.00 / $12,862.50	Facility		$2,829.75	$4,410.00	$12,862.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,134.94 / $8,762.74 / $12,290.33	Professional		$6,134.94	$8,762.74	$12,290.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,350.00 / $17,456.25 / $17,456.25	Facility		$7,350.00	$17,456.25	$17,456.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14,700.00 / $18,375.00 / $18,375.00	Professional		$14,700.00	$18,375.00	$18,375.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,826.07 / $7,826.07 / $7,826.07	Professional		$7,826.07	$7,826.07	$7,826.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,680.34 / $20,065.50 / $20,065.50	Professional		$10,680.34	$20,065.50	$20,065.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,940.00 / $2,940.00 / $7,974.75	Facility		$2,940.00	$2,940.00	$7,974.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,653.75 / $2,353.10 / $7,717.50	Professional		$1,653.75	$2,353.10	$7,717.50