Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,059.71 / $2,420.17 / $2,420.17	Professional		$2,059.71	$2,420.17	$2,420.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,089.58 / $4,800.00 / $11,027.78	Professional		$3,089.58	$4,800.00	$11,027.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,917.87 / $3,917.87 / $3,917.87	Facility		$3,917.87	$3,917.87	$3,917.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,085.51 / $8,279.96 / $12,701.69	Facility		$7,085.51	$8,279.96	$12,701.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,047.07 / $6,933.01 / $7,878.43	Professional		$3,047.07	$6,933.01	$7,878.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,982.48 / $3,089.58 / $9,011.28	Facility		$1,982.48	$3,089.58	$9,011.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,982.48 / $3,089.58 / $9,011.28	Facility		$1,982.48	$3,089.58	$9,011.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,287.33 / $1,544.79 / $7,939.83	Professional		$1,287.33	$1,544.79	$7,939.83
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 $1,982.48 / $3,089.58 / $9,011.28	Facility		$1,982.48	$3,089.58	$9,011.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,298.39 / $6,139.55 / $8,611.12	Professional		$4,298.39	$6,139.55	$8,611.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,149.30 / $12,229.59 / $12,229.59	Facility		$5,149.30	$12,229.59	$12,229.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,298.60 / $10,298.60 / $12,821.76	Professional		$10,298.60	$10,298.60	$12,821.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,482.83 / $5,482.83 / $5,482.83	Professional		$5,482.83	$5,482.83	$5,482.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,057.59 / $14,057.59 / $14,057.59	Professional		$14,057.59	$14,057.59	$14,057.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.34 / $1,544.79 / $5,406.77	Professional		$1,081.34	$1,544.79	$5,406.77