Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,772.32 / $2,082.48 / $2,082.48	Professional		$1,772.32	$2,082.48	$2,082.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $3,462.52 / $10,257.29	Professional		$336.26	$3,462.52	$10,257.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,371.04 / $3,371.04 / $3,371.04	Facility		$3,371.04	$3,371.04	$3,371.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,124.80 / $8,096.36 / $11,492.05	Facility		$7,124.80	$8,096.36	$11,492.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,658.48 / $3,233.08 / $6,779.13	Professional		$2,658.48	$3,233.08	$6,779.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,993.86 / $2,658.48 / $7,753.90	Facility		$1,993.86	$2,658.48	$7,753.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,993.86 / $2,990.79 / $7,753.90	Facility		$1,993.86	$2,990.79	$7,753.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $963.03 / $1,329.24 / $11,032.69	Professional		$963.03	$1,329.24	$11,032.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $1,107.70	Professional		$50.00	$65.00	$1,107.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,993.86 / $2,658.48 / $7,753.90	Facility		$1,993.86	$2,658.48	$7,753.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,698.46 / $5,227.84 / $7,409.25	Professional		$3,698.46	$5,227.84	$7,409.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,430.80 / $4,430.80 / $10,523.15	Facility		$4,430.80	$4,430.80	$10,523.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,861.60 / $8,861.60 / $11,032.69	Professional		$8,861.60	$8,861.60	$11,032.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,717.79 / $4,717.79 / $4,717.79	Professional		$4,717.79	$4,717.79	$4,717.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,630.85 / $12,096.08 / $12,096.08	Professional		$11,630.85	$12,096.08	$12,096.08
United Facility/Professional Professional Modifier Low / Median / High Price $996.93 / $1,329.24 / $4,123.75	Professional		$996.93	$1,329.24	$4,123.75