Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,427.09 / $2,427.09 / $2,851.83	Professional		$2,427.09	$2,427.09	$2,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $4,308.08 / $14,046.77	Professional		$239.16	$4,308.08	$14,046.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,616.29 / $4,616.29 / $4,616.29	Facility		$4,616.29	$4,616.29	$4,616.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,756.32 / $11,086.73 / $15,736.60	Facility		$9,756.32	$11,086.73	$15,736.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,640.63 / $4,427.39 / $9,283.61	Professional		$3,640.63	$4,427.39	$9,283.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,730.47 / $3,640.63 / $10,618.51	Facility		$2,730.47	$3,640.63	$10,618.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,730.47 / $4,095.71 / $10,618.51	Facility		$2,730.47	$4,095.71	$10,618.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.82 / $1,820.32 / $15,108.62	Professional		$1,318.82	$1,820.32	$15,108.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,516.93	Professional		$50.00	$70.00	$1,516.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,730.47 / $3,640.63 / $10,618.51	Facility		$2,730.47	$3,640.63	$10,618.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,064.66 / $7,158.99 / $10,146.20	Professional		$5,064.66	$7,158.99	$10,146.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,067.72 / $6,067.72 / $14,410.84	Facility		$6,067.72	$6,067.72	$14,410.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12,135.44 / $12,135.44 / $15,108.62	Professional		$12,135.44	$12,135.44	$15,108.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,462.12 / $6,462.12 / $6,462.12	Professional		$6,462.12	$6,462.12	$6,462.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16,564.88 / $16,564.88 / $16,564.88	Professional		$16,564.88	$16,564.88	$16,564.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,516.93 / $1,820.32 / $6,371.11	Professional		$1,516.93	$1,820.32	$6,371.11