Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,758.68 / $2,066.44 / $2,066.44	Professional		$1,758.68	$2,066.44	$2,066.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $514.79 / $9,095.70	Professional		$514.79	$514.79	$9,095.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,344.95 / $3,344.95 / $3,344.95	Facility		$3,344.95	$3,344.95	$3,344.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,050.12 / $7,070.04 / $10,845.63	Facility		$6,050.12	$7,070.04	$10,845.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,601.69 / $5,919.72 / $6,726.95	Professional		$2,601.69	$5,919.72	$6,726.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,692.73 / $2,638.02 / $7,694.23	Facility		$1,692.73	$2,638.02	$7,694.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,692.73 / $2,638.02 / $7,694.23	Facility		$1,692.73	$2,638.02	$7,694.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,099.18 / $1,319.01 / $6,779.38	Professional		$1,099.18	$1,319.01	$6,779.38
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 $1,692.73 / $2,638.02 / $7,694.23	Facility		$1,692.73	$2,638.02	$7,694.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,669.84 / $5,241.75 / $7,351.91	Professional		$3,669.84	$5,241.75	$7,351.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,396.70 / $10,442.16 / $10,442.16	Facility		$4,396.70	$10,442.16	$10,442.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,793.40 / $8,793.40 / $10,947.78	Professional		$8,793.40	$8,793.40	$10,947.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,681.47 / $4,681.47 / $4,681.47	Professional		$4,681.47	$4,681.47	$4,681.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,002.99 / $12,002.99 / $12,002.99	Professional		$12,002.99	$12,002.99	$12,002.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,198.35 / $2,198.35 / $2,198.35	Facility		$2,198.35	$2,198.35	$2,198.35
United Facility/Professional Professional Modifier Low / Median / High Price $989.26 / $1,319.01 / $4,616.54	Professional		$989.26	$1,319.01	$4,616.54