Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,527.54 / $2,969.85 / $2,969.85	Professional		$2,527.54	$2,969.85	$2,969.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,296.00 / $12,637.68	Professional		$1,296.00	$1,296.00	$12,637.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,807.25 / $4,807.25 / $4,807.25	Facility		$4,807.25	$4,807.25	$4,807.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,694.91 / $10,160.69 / $15,586.75	Facility		$8,694.91	$10,160.69	$15,586.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,739.18 / $8,507.69 / $9,667.83	Professional		$3,739.18	$8,507.69	$9,667.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,432.75 / $3,791.30 / $11,057.97	Facility		$2,432.75	$3,791.30	$11,057.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,432.75 / $3,791.30 / $11,057.97	Facility		$2,432.75	$3,791.30	$11,057.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,579.71 / $1,895.65 / $9,743.18	Professional		$1,579.71	$1,895.65	$9,743.18
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 $2,432.75 / $3,791.30 / $11,057.97	Facility		$2,432.75	$3,791.30	$11,057.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,274.18 / $7,533.29 / $10,565.94	Professional		$5,274.18	$7,533.29	$10,565.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,318.84 / $15,007.25 / $15,007.25	Facility		$6,318.84	$15,007.25	$15,007.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12,637.68 / $12,637.68 / $15,733.91	Professional		$12,637.68	$12,637.68	$15,733.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,728.12 / $6,728.12 / $6,728.12	Professional		$6,728.12	$6,728.12	$6,728.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,181.95 / $17,250.43 / $17,250.43	Professional		$9,181.95	$17,250.43	$17,250.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,159.42 / $3,159.42 / $3,159.42	Facility		$3,159.42	$3,159.42	$3,159.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,579.71 / $1,895.65 / $8,658.39	Professional		$1,579.71	$1,895.65	$8,658.39