Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,019.76 / $5,019.76 / $5,019.76	Facility		$5,019.76	$5,019.76	$5,019.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,221.01 / $3,973.98 / $5,019.76	Professional		$3,221.01	$3,973.98	$5,019.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $17,064.03	Professional		$208.00	$208.00	$17,064.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,365.06 / $6,365.06 / $6,365.06	Facility		$6,365.06	$6,365.06	$6,365.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,511.81 / $13,452.46 / $20,636.41	Facility		$11,511.81	$13,452.46	$20,636.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,951.10 / $11,264.33 / $12,800.38	Professional		$4,951.10	$11,264.33	$12,800.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,221.01 / $5,019.76 / $14,640.96	Facility		$3,221.01	$5,019.76	$14,640.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,221.01 / $5,019.76 / $14,640.96	Facility		$3,221.01	$5,019.76	$14,640.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,091.57 / $2,509.88 / $12,900.15	Professional		$2,091.57	$2,509.88	$12,900.15
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 $3,221.01 / $5,019.76 / $14,640.96	Facility		$3,221.01	$5,019.76	$14,640.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,983.28 / $9,974.45 / $13,989.84	Professional		$6,983.28	$9,974.45	$13,989.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,366.26 / $19,869.87 / $19,869.87	Facility		$8,366.26	$19,869.87	$19,869.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16,732.52 / $16,732.52 / $20,831.99	Professional		$16,732.52	$16,732.52	$20,831.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,910.07 / $8,910.07 / $8,910.07	Professional		$8,910.07	$8,910.07	$8,910.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22,839.89 / $22,839.89 / $22,839.89	Professional		$22,839.89	$22,839.89	$22,839.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,882.41 / $2,509.88 / $7,786.48	Professional		$1,882.41	$2,509.88	$7,786.48