Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,558.00 / $2,938.27 / $2,938.27	Facility		$2,558.00	$2,938.27	$2,938.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.39 / $2,301.65 / $2,938.27	Professional		$1,885.39	$2,301.65	$2,938.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $10,130.94	Professional		$9.07	$9.07	$10,130.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,725.91 / $3,725.91 / $3,725.91	Facility		$3,725.91	$3,725.91	$3,725.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,738.58 / $7,874.56 / $12,079.77	Facility		$6,738.58	$7,874.56	$12,079.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,898.18 / $6,593.48 / $7,492.59	Professional		$2,898.18	$6,593.48	$7,492.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,885.39 / $2,938.27 / $8,569.95	Facility		$1,885.39	$2,938.27	$8,569.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,885.39 / $2,938.27 / $8,569.95	Facility		$1,885.39	$2,938.27	$8,569.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,224.28 / $1,469.14 / $7,550.99	Professional		$1,224.28	$1,469.14	$7,550.99
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 $1,885.39 / $2,938.27 / $8,569.95	Facility		$1,885.39	$2,938.27	$8,569.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,087.80 / $5,838.74 / $8,189.23	Professional		$4,087.80	$5,838.74	$8,189.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.12 / $11,630.66 / $11,630.66	Facility		$4,897.12	$11,630.66	$11,630.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,794.24 / $9,794.24 / $12,193.83	Professional		$9,794.24	$9,794.24	$12,193.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,215.43 / $5,215.43 / $5,215.43	Professional		$5,215.43	$5,215.43	$5,215.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,369.14 / $13,369.14 / $13,369.14	Professional		$13,369.14	$13,369.14	$13,369.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,469.14 / $5,141.97	Professional		$1,028.40	$1,469.14	$5,141.97