Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.05 / $1,227.05 / $1,227.05	Professional		$1,227.05	$1,227.05	$1,227.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.14 / $1,148.40 / $5,221.47	Professional		$976.14	$1,148.40	$5,221.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,305.36 / $1,305.36 / $1,986.50	Facility		$1,305.36	$1,305.36	$1,986.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,592.77 / $4,198.43 / $6,440.50	Facility		$3,592.77	$4,198.43	$6,440.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,500.02 / $3,515.11 / $3,994.44	Professional		$1,500.02	$3,515.11	$3,994.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $783.22 / $1,174.83 / $1,670.87	Facility		$783.22	$1,174.83	$1,670.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $783.22 / $1,305.36 / $6,200.51	Facility		$783.22	$1,305.36	$6,200.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $757.11 / $1,305.36 / $2,741.28	Professional		$757.11	$1,305.36	$2,741.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $652.69 / $652.69 / $652.69	Professional		$652.69	$652.69	$652.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $783.22 / $1,174.83 / $1,670.87	Facility		$783.22	$1,174.83	$1,670.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,533.68 / $3,112.97 / $4,439.60	Professional		$1,533.68	$3,112.97	$4,439.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,610.73 / $2,610.73 / $6,200.51	Facility		$2,610.73	$2,610.73	$6,200.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,779.84 / $2,779.84 / $2,779.84	Professional		$2,779.84	$2,779.84	$2,779.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,127.32 / $7,127.32 / $7,127.32	Professional		$7,127.32	$7,127.32	$7,127.32
United Facility/Professional Professional Modifier Low / Median / High Price $704.90 / $1,044.30 / $4,025.57	Professional		$704.90	$1,044.30	$4,025.57