Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.52 / $1,015.52 / $1,015.52	Facility		$1,015.52	$1,015.52	$1,015.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.63 / $795.49 / $1,015.52	Professional		$651.63	$795.49	$1,015.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $338.51 / $3,501.44	Professional		$338.51	$338.51	$3,501.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,287.58 / $1,287.58 / $1,287.58	Facility		$1,287.58	$1,287.58	$1,287.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,329.40 / $2,722.08 / $4,175.74	Facility		$2,329.40	$2,722.08	$4,175.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,001.37 / $2,278.84 / $2,589.59	Professional		$1,001.37	$2,278.84	$2,589.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $651.63 / $1,015.52 / $2,961.95	Facility		$651.63	$1,015.52	$2,961.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $651.63 / $1,015.52 / $2,961.95	Facility		$651.63	$1,015.52	$2,961.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $507.76 / $2,609.77	Professional		$423.14	$507.76	$2,609.77
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 $651.63 / $1,015.52 / $2,961.95	Facility		$651.63	$1,015.52	$2,961.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.64 / $2,017.72 / $2,829.99	Professional		$1,412.64	$2,017.72	$2,829.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,692.54 / $4,019.78 / $4,019.78	Facility		$1,692.54	$4,019.78	$4,019.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,385.08 / $3,385.08 / $4,214.42	Professional		$3,385.08	$3,385.08	$4,214.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,802.17 / $1,802.17 / $1,802.17	Professional		$1,802.17	$1,802.17	$1,802.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,620.63 / $4,620.63 / $4,620.63	Professional		$4,620.63	$4,620.63	$4,620.63
United Facility/Professional Professional Modifier Low / Median / High Price $380.82 / $507.76 / $1,777.17	Professional		$380.82	$507.76	$1,777.17