Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,554.57 / $1,826.62 / $1,826.62	Professional		$1,554.57	$1,826.62	$1,826.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,148.40 / $8,040.06	Professional		$1,148.40	$1,148.40	$8,040.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,956.61 / $2,956.61 / $2,956.61	Facility		$2,956.61	$2,956.61	$2,956.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,348.15 / $6,249.73 / $9,587.25	Facility		$5,348.15	$6,249.73	$9,587.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,299.66 / $5,232.68 / $5,946.23	Professional		$2,299.66	$5,232.68	$5,946.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,496.27 / $2,331.85 / $6,801.24	Facility		$1,496.27	$2,331.85	$6,801.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,496.27 / $2,331.85 / $6,801.24	Facility		$1,496.27	$2,331.85	$6,801.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $971.61 / $1,165.93 / $5,992.57	Professional		$971.61	$1,165.93	$5,992.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $971.61	Professional		$50.00	$65.00	$971.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,496.27 / $2,331.85 / $6,801.24	Facility		$1,496.27	$2,331.85	$6,801.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,243.78 / $4,633.20 / $6,498.37	Professional		$3,243.78	$4,633.20	$6,498.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,886.42 / $9,230.25 / $9,230.25	Facility		$3,886.42	$9,230.25	$9,230.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,772.84 / $7,772.84 / $9,677.19	Professional		$7,772.84	$7,772.84	$9,677.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,138.14 / $4,138.14 / $4,138.14	Professional		$4,138.14	$4,138.14	$4,138.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,609.93 / $10,609.93 / $10,609.93	Professional		$10,609.93	$10,609.93	$10,609.93
United Facility/Professional Professional Modifier Low / Median / High Price $971.61 / $1,165.93 / $4,080.74	Professional		$971.61	$1,165.93	$4,080.74