Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.24 / $1,516.24 / $1,516.24	Facility		$1,516.24	$1,516.24	$1,516.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.92 / $1,187.72 / $1,516.24	Professional		$972.92	$1,187.72	$1,516.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $66.38 / $5,227.87	Professional		$66.38	$66.38	$5,227.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,922.52 / $1,922.52 / $1,922.52	Facility		$1,922.52	$1,922.52	$1,922.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,477.42 / $4,063.64 / $6,233.73	Facility		$3,477.42	$4,063.64	$6,233.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,495.25 / $3,402.43 / $3,866.40	Professional		$1,495.25	$3,402.43	$3,866.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $972.92 / $1,516.24 / $4,422.35	Facility		$972.92	$1,516.24	$4,422.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $972.92 / $1,516.24 / $4,422.35	Facility		$972.92	$1,516.24	$4,422.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $631.77 / $758.12 / $3,896.54	Professional		$631.77	$758.12	$3,896.54
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 $972.92 / $1,516.24 / $4,422.35	Facility		$972.92	$1,516.24	$4,422.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,109.23 / $3,012.70 / $4,225.51	Professional		$2,109.23	$3,012.70	$4,225.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,527.06 / $6,001.77 / $6,001.77	Facility		$2,527.06	$6,001.77	$6,001.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,054.12 / $5,054.12 / $6,292.38	Professional		$5,054.12	$5,054.12	$6,292.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.32 / $2,691.32 / $2,691.32	Professional		$2,691.32	$2,691.32	$2,691.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,898.87 / $6,898.87 / $6,898.87	Professional		$6,898.87	$6,898.87	$6,898.87
United Facility/Professional Professional Modifier Low / Median / High Price $530.67 / $758.12 / $2,351.92	Professional		$530.67	$758.12	$2,351.92