Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.69 / $2,085.98 / $2,085.98	Professional		$1,819.69	$2,085.98	$2,085.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $8,876.52	Professional		$1,549.20	$1,549.20	$8,876.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,219.13 / $3,376.44 / $4,200.00	Facility		$2,219.13	$3,376.44	$4,200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,106.89 / $7,136.38 / $10,947.40	Facility		$6,106.89	$7,136.38	$10,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,549.86 / $5,975.67 / $6,790.54	Professional		$2,549.86	$5,975.67	$6,790.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,331.48 / $1,819.69 / $2,662.96	Facility		$1,331.48	$1,819.69	$2,662.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,331.48 / $1,997.22 / $10,540.87	Facility		$1,331.48	$1,997.22	$10,540.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,287.09 / $2,219.13 / $4,660.17	Professional		$1,287.09	$2,219.13	$4,660.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,331.48 / $1,819.69 / $2,662.96	Facility		$1,331.48	$1,819.69	$2,662.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,606.80 / $5,291.12 / $7,546.00	Professional		$2,606.80	$5,291.12	$7,546.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,438.26 / $4,438.26 / $10,540.87	Facility		$4,438.26	$4,438.26	$10,540.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,726.75 / $4,726.75 / $4,726.75	Professional		$4,726.75	$4,726.75	$4,726.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,116.45 / $12,116.45 / $12,116.45	Professional		$12,116.45	$12,116.45	$12,116.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.57 / $1,775.30 / $4,660.17	Professional		$1,109.57	$1,775.30	$4,660.17