Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,564.74 / $1,564.74 / $1,564.74	Facility		$1,564.74	$1,564.74	$1,564.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.04 / $1,238.75 / $1,564.74	Professional		$1,004.04	$1,238.75	$1,564.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $5,395.11	Professional		$335.33	$335.33	$5,395.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,984.03 / $1,984.03 / $1,984.03	Facility		$1,984.03	$1,984.03	$1,984.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,588.26 / $4,193.17 / $6,432.42	Facility		$3,588.26	$4,193.17	$6,432.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,543.31 / $3,511.28 / $3,990.09	Professional		$1,543.31	$3,511.28	$3,990.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,004.04 / $1,564.74 / $4,563.83	Facility		$1,004.04	$1,564.74	$4,563.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,004.04 / $1,564.74 / $4,563.83	Facility		$1,004.04	$1,564.74	$4,563.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $558.99 / $718.53 / $3,447.68	Professional		$558.99	$718.53	$3,447.68
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 $1,004.04 / $1,564.74 / $4,563.83	Facility		$1,004.04	$1,564.74	$4,563.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,176.73 / $3,109.11 / $4,360.74	Professional		$2,176.73	$3,109.11	$4,360.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,607.90 / $6,193.76 / $6,193.76	Facility		$2,607.90	$6,193.76	$6,193.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,215.80 / $5,589.90 / $6,493.67	Professional		$5,215.80	$5,589.90	$6,493.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,776.82 / $2,776.82 / $2,776.82	Professional		$2,776.82	$2,776.82	$2,776.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,789.28 / $7,119.57 / $7,119.57	Professional		$3,789.28	$7,119.57	$7,119.57
United Facility/Professional Professional Modifier Low / Median / High Price $547.66 / $670.79 / $2,347.76	Professional		$547.66	$670.79	$2,347.76