Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,380.16 / $5,146.68 / $5,146.68	Professional		$4,380.16	$5,146.68	$5,146.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $22,653.70	Professional		$66.20	$66.20	$22,653.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,331.36 / $8,331.36 / $8,331.36	Facility		$8,331.36	$8,331.36	$8,331.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,067.63 / $17,607.71 / $27,010.69	Facility		$15,067.63	$17,607.71	$27,010.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,479.97 / $14,743.62 / $16,754.11	Professional		$6,479.97	$14,743.62	$16,754.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,215.89 / $6,570.24 / $19,163.20	Facility		$4,215.89	$6,570.24	$19,163.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,215.89 / $6,570.24 / $19,163.20	Facility		$4,215.89	$6,570.24	$19,163.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,737.60 / $3,285.12 / $16,884.70	Professional		$2,737.60	$3,285.12	$16,884.70
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 $4,215.89 / $6,570.24 / $19,163.20	Facility		$4,215.89	$6,570.24	$19,163.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,140.58 / $13,055.80 / $18,311.63	Professional		$9,140.58	$13,055.80	$18,311.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,950.40 / $26,007.20 / $26,007.20	Facility		$10,950.40	$26,007.20	$26,007.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21,900.80 / $21,900.80 / $27,266.50	Professional		$21,900.80	$21,900.80	$27,266.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,659.68 / $11,659.68 / $11,659.68	Professional		$11,659.68	$11,659.68	$11,659.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29,894.59 / $29,894.59 / $29,894.59	Professional		$29,894.59	$29,894.59	$29,894.59
United Facility/Professional Professional Modifier Low / Median / High Price $2,463.84 / $3,285.12 / $10,191.54	Professional		$2,463.84	$3,285.12	$10,191.54