Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.61 / $1,444.80 / $1,444.80	Professional		$1,229.61	$1,444.80	$1,444.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $514.79 / $6,359.44	Professional		$514.79	$514.79	$6,359.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,338.91 / $2,338.91 / $2,338.91	Facility		$2,338.91	$2,338.91	$2,338.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,229.85 / $4,942.92 / $7,582.57	Facility		$4,229.85	$4,942.92	$7,582.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.39 / $4,138.88 / $4,703.28	Professional		$1,819.39	$4,138.88	$4,703.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,183.51 / $1,844.42 / $5,379.57	Facility		$1,183.51	$1,844.42	$5,379.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,183.51 / $1,844.42 / $5,379.57	Facility		$1,183.51	$1,844.42	$5,379.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $768.51 / $922.21 / $4,739.93	Professional		$768.51	$922.21	$4,739.93
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 $1,183.51 / $1,844.42 / $5,379.57	Facility		$1,183.51	$1,844.42	$5,379.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,566.08 / $3,665.22 / $5,140.71	Professional		$2,566.08	$3,665.22	$5,140.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,074.04 / $7,300.85 / $7,300.85	Facility		$3,074.04	$7,300.85	$7,300.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,148.08 / $6,148.08 / $7,654.36	Professional		$6,148.08	$6,148.08	$7,654.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,273.15 / $3,273.15 / $3,273.15	Professional		$3,273.15	$3,273.15	$3,273.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,392.12 / $8,392.12 / $8,392.12	Professional		$8,392.12	$8,392.12	$8,392.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,537.02 / $1,537.02 / $1,537.02	Facility		$1,537.02	$1,537.02	$1,537.02
United Facility/Professional Professional Modifier Low / Median / High Price $645.54 / $922.21 / $3,227.74	Professional		$645.54	$922.21	$3,227.74