Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,106.00 / $2,106.00 / $2,106.00	Facility		$2,106.00	$2,106.00	$2,106.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,351.35 / $1,667.25 / $2,106.00	Professional		$1,351.35	$1,667.25	$2,106.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,192.50 / $5,070.00 / $5,362.50	Facility		$4,192.50	$5,070.00	$5,362.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $325.33 / $7,954.54	Professional		$325.33	$325.33	$7,954.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,966.94 / $2,966.94 / $2,966.94	Facility		$2,966.94	$2,966.94	$2,966.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,366.17 / $6,270.79 / $9,619.56	Facility		$5,366.17	$6,270.79	$9,619.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,307.73 / $5,250.96 / $5,967.00	Professional		$2,307.73	$5,250.96	$5,967.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,351.35 / $2,145.00 / $6,825.00	Facility		$1,351.35	$2,145.00	$6,825.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,351.35 / $2,340.00 / $6,825.00	Facility		$1,351.35	$2,340.00	$6,825.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,170.00 / $6,013.51	Professional		$975.00	$1,170.00	$6,013.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $4,843.80	Professional		$50.00	$70.00	$4,843.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,351.35 / $2,145.00 / $6,825.00	Facility		$1,351.35	$2,145.00	$6,825.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,255.12 / $4,754.89 / $6,521.09	Professional		$3,255.12	$4,754.89	$6,521.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,900.00 / $9,262.50 / $9,262.50	Facility		$3,900.00	$9,262.50	$9,262.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,800.00 / $8,775.00 / $9,711.00	Professional		$7,800.00	$8,775.00	$9,711.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,152.60 / $4,152.60 / $4,152.60	Professional		$4,152.60	$4,152.60	$4,152.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,647.00 / $10,647.00 / $10,647.00	Professional		$10,647.00	$10,647.00	$10,647.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $1,560.00 / $4,231.50	Facility		$1,560.00	$1,560.00	$4,231.50
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,170.00 / $4,809.58	Professional		$819.00	$1,170.00	$4,809.58