Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,251.94 / $3,251.94 / $3,251.94	Facility		$3,251.94	$3,251.94	$3,251.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,547.35 / $3,251.94 / $3,251.94	Professional		$2,547.35	$3,251.94	$3,251.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $11,212.45	Professional		$33.20	$33.20	$11,212.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,123.60 / $4,123.60 / $4,123.60	Facility		$4,123.60	$4,123.60	$4,123.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,457.67 / $8,714.87 / $13,368.84	Facility		$7,457.67	$8,714.87	$13,368.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,207.44 / $7,297.36 / $8,292.45	Professional		$3,207.44	$7,297.36	$8,292.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,086.66 / $3,251.94 / $9,484.83	Facility		$2,086.66	$3,251.94	$9,484.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,086.66 / $3,251.94 / $9,484.83	Facility		$2,086.66	$3,251.94	$9,484.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,354.98 / $1,625.97 / $8,357.08	Professional		$1,354.98	$1,625.97	$8,357.08
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 $2,086.66 / $3,251.94 / $9,484.83	Facility		$2,086.66	$3,251.94	$9,484.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,524.12 / $6,461.95 / $9,063.32	Professional		$4,524.12	$6,461.95	$9,063.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,419.90 / $12,872.26 / $12,872.26	Facility		$5,419.90	$12,872.26	$12,872.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,839.80 / $10,839.80 / $13,495.55	Professional		$10,839.80	$10,839.80	$13,495.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,770.96 / $5,770.96 / $5,770.96	Professional		$5,770.96	$5,770.96	$5,770.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,796.33 / $14,796.33 / $14,796.33	Professional		$14,796.33	$14,796.33	$14,796.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,354.98 / $1,625.97 / $5,690.90	Professional		$1,354.98	$1,625.97	$5,690.90