Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,503.52 / $3,503.52 / $3,503.52	Facility		$3,503.52	$3,503.52	$3,503.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,248.09 / $2,744.42 / $3,503.52	Professional		$2,248.09	$2,744.42	$3,503.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $11,678.40	Professional		$208.00	$208.00	$11,678.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,442.54 / $4,442.54 / $4,442.54	Facility		$4,442.54	$4,442.54	$4,442.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,034.39 / $9,388.82 / $14,402.68	Facility		$8,034.39	$9,388.82	$14,402.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,455.44 / $7,861.90 / $8,933.98	Professional		$3,455.44	$7,861.90	$8,933.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,248.09 / $3,503.52 / $10,218.60	Facility		$2,248.09	$3,503.52	$10,218.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,248.09 / $3,503.52 / $10,218.60	Facility		$2,248.09	$3,503.52	$10,218.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,459.80 / $1,751.76 / $9,003.61	Professional		$1,459.80	$1,751.76	$9,003.61
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 $2,248.09 / $3,503.52 / $10,218.60	Facility		$2,248.09	$3,503.52	$10,218.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,874.04 / $6,961.75 / $9,764.33	Professional		$4,874.04	$6,961.75	$9,764.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,839.20 / $13,868.10 / $13,868.10	Facility		$5,839.20	$13,868.10	$13,868.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11,678.40 / $11,678.40 / $14,539.61	Professional		$11,678.40	$11,678.40	$14,539.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,218.75 / $6,218.75 / $6,218.75	Professional		$6,218.75	$6,218.75	$6,218.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15,941.02 / $15,941.02 / $15,941.02	Professional		$15,941.02	$15,941.02	$15,941.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $2,919.60	Facility		$2,919.60	$2,919.60	$2,919.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,313.82 / $1,751.76 / $7,743.04	Professional		$1,313.82	$1,751.76	$7,743.04