Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,235.87 / $2,235.87 / $2,235.87	Facility		$2,235.87	$2,235.87	$2,235.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,434.68 / $1,770.06 / $2,235.87	Professional		$1,434.68	$1,770.06	$2,235.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $7,600.54	Professional		$208.00	$208.00	$7,600.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,835.03 / $2,835.03 / $2,835.03	Facility		$2,835.03	$2,835.03	$2,835.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,127.37 / $5,991.74 / $9,191.48	Facility		$5,127.37	$5,991.74	$9,191.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,205.21 / $5,017.28 / $5,701.45	Professional		$2,205.21	$5,017.28	$5,701.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,434.68 / $2,235.86 / $6,521.27	Facility		$1,434.68	$2,235.86	$6,521.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,434.68 / $2,235.86 / $6,521.27	Facility		$1,434.68	$2,235.86	$6,521.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $931.61 / $1,117.93 / $5,745.89	Professional		$931.61	$1,117.93	$5,745.89
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 $1,434.68 / $2,235.86 / $6,521.27	Facility		$1,434.68	$2,235.86	$6,521.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,110.40 / $4,442.68 / $6,231.17	Professional		$3,110.40	$4,442.68	$6,231.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,726.44 / $8,850.29 / $8,850.29	Facility		$3,726.44	$8,850.29	$8,850.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,452.88 / $7,452.88 / $9,278.84	Professional		$7,452.88	$7,452.88	$9,278.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,968.66 / $3,968.66 / $3,968.66	Professional		$3,968.66	$3,968.66	$3,968.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,173.18 / $10,173.18 / $10,173.18	Professional		$10,173.18	$10,173.18	$10,173.18
United Facility/Professional Professional Modifier Low / Median / High Price $931.61 / $1,117.93 / $3,912.76	Professional		$931.61	$1,117.93	$3,912.76