Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,380.64 / $5,147.25 / $5,147.25	Professional		$4,380.64	$5,147.25	$5,147.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,702.85 / $1,702.85 / $22,656.18	Professional		$1,702.85	$1,702.85	$22,656.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,332.35 / $8,332.35 / $8,332.35	Facility		$8,332.35	$8,332.35	$8,332.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,069.43 / $17,609.82 / $27,013.92	Facility		$15,069.43	$17,609.82	$27,013.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,480.82 / $14,745.24 / $16,755.95	Professional		$6,480.82	$14,745.24	$16,755.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,216.37 / $6,570.96 / $19,165.30	Facility		$4,216.37	$6,570.96	$19,165.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,216.37 / $6,570.96 / $19,165.30	Facility		$4,216.37	$6,570.96	$19,165.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,737.90 / $3,285.48 / $16,886.55	Professional		$2,737.90	$3,285.48	$16,886.55
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 $4,216.37 / $6,570.96 / $19,165.30	Facility		$4,216.37	$6,570.96	$19,165.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,141.66 / $13,057.34 / $18,313.79	Professional		$9,141.66	$13,057.34	$18,313.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,951.60 / $26,010.05 / $26,010.05	Facility		$10,951.60	$26,010.05	$26,010.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21,903.20 / $21,903.20 / $27,269.48	Professional		$21,903.20	$21,903.20	$27,269.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,663.45 / $11,663.45 / $11,663.45	Professional		$11,663.45	$11,663.45	$11,663.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29,897.87 / $29,897.87 / $29,897.87	Professional		$29,897.87	$29,897.87	$29,897.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,380.33 / $3,285.48 / $11,499.18	Professional		$2,380.33	$3,285.48	$11,499.18