Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,303.90 / $3,303.90 / $3,303.90	Facility		$3,303.90	$3,303.90	$3,303.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,120.00 / $2,588.06 / $3,303.90	Professional		$2,120.00	$2,588.06	$3,303.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $11,013.00	Professional		$208.00	$208.00	$11,013.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,189.55 / $4,189.55 / $4,189.55	Facility		$4,189.55	$4,189.55	$4,189.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,576.62 / $8,853.87 / $13,582.07	Facility		$7,576.62	$8,853.87	$13,582.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,258.91 / $7,413.96 / $8,424.95	Professional		$3,258.91	$7,413.96	$8,424.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,120.00 / $3,303.90 / $9,636.37	Facility		$2,120.00	$3,303.90	$9,636.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,120.00 / $3,303.90 / $9,636.37	Facility		$2,120.00	$3,303.90	$9,636.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,376.63 / $1,651.95 / $8,490.61	Professional		$1,376.63	$1,651.95	$8,490.61
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 $2,120.00 / $3,303.90 / $9,636.37	Facility		$2,120.00	$3,303.90	$9,636.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,596.47 / $6,565.31 / $9,208.28	Professional		$4,596.47	$6,565.31	$9,208.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,506.50 / $13,077.94 / $13,077.94	Facility		$5,506.50	$13,077.94	$13,077.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11,013.00 / $11,013.00 / $13,711.19	Professional		$11,013.00	$11,013.00	$13,711.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,863.17 / $5,863.17 / $5,863.17	Professional		$5,863.17	$5,863.17	$5,863.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,001.53 / $15,032.75 / $15,032.75	Professional		$8,001.53	$15,032.75	$15,032.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,196.83 / $1,651.95 / $6,781.84	Professional		$1,196.83	$1,651.95	$6,781.84