Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,391.46 / $6,334.97 / $6,334.97	Professional		$5,391.46	$6,334.97	$6,334.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.88 / $426.88 / $27,884.05	Professional		$426.88	$426.88	$27,884.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,254.86 / $10,254.86 / $10,254.86	Facility		$10,254.86	$10,254.86	$10,254.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,546.84 / $21,673.46 / $33,247.65	Facility		$18,546.84	$21,673.46	$33,247.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,976.49 / $18,147.66 / $20,622.34	Professional		$7,976.49	$18,147.66	$20,622.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,189.28 / $8,087.20 / $23,587.66	Facility		$5,189.28	$8,087.20	$23,587.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,189.28 / $8,087.20 / $23,587.66	Facility		$5,189.28	$8,087.20	$23,587.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,369.67 / $4,043.60 / $20,783.08	Professional		$3,369.67	$4,043.60	$20,783.08
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 $5,189.28 / $8,087.20 / $23,587.66	Facility		$5,189.28	$8,087.20	$23,587.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11,250.90 / $16,070.04 / $22,539.30	Professional		$11,250.90	$16,070.04	$22,539.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,478.66 / $32,011.82 / $32,011.82	Facility		$13,478.66	$32,011.82	$32,011.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26,957.32 / $26,957.32 / $33,561.86	Professional		$26,957.32	$26,957.32	$33,561.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,354.77 / $14,354.77 / $14,354.77	Professional		$14,354.77	$14,354.77	$14,354.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36,796.74 / $36,796.74 / $36,796.74	Professional		$36,796.74	$36,796.74	$36,796.74
United Facility/Professional Facility Modifier Low / Median / High Price $6,739.33 / $6,739.33 / $6,739.33	Facility		$6,739.33	$6,739.33	$6,739.33
United Facility/Professional Professional Modifier Low / Median / High Price $2,929.59 / $4,043.60 / $14,152.59	Professional		$2,929.59	$4,043.60	$14,152.59