Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,654.14 / $4,654.14 / $4,654.14	Facility		$4,654.14	$4,654.14	$4,654.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,986.41 / $3,684.53 / $4,654.14	Professional		$2,986.41	$3,684.53	$4,654.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $239.16 / $15,821.16	Professional		$239.16	$239.16	$15,821.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,901.41 / $5,901.41 / $5,901.41	Facility		$5,901.41	$5,901.41	$5,901.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,673.77 / $12,473.14 / $19,134.12	Facility		$10,673.77	$12,473.14	$19,134.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,590.38 / $10,443.90 / $11,868.06	Professional		$4,590.38	$10,443.90	$11,868.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,986.41 / $4,654.14 / $13,574.58	Facility		$2,986.41	$4,654.14	$13,574.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,986.41 / $4,654.14 / $13,574.58	Facility		$2,986.41	$4,654.14	$13,574.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,939.23 / $2,327.07 / $11,960.56	Professional		$1,939.23	$2,327.07	$11,960.56
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 $2,986.41 / $4,654.14 / $13,574.58	Facility		$2,986.41	$4,654.14	$13,574.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,474.60 / $9,247.89 / $12,970.78	Professional		$6,474.60	$9,247.89	$12,970.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,756.90 / $18,422.64 / $18,422.64	Facility		$7,756.90	$18,422.64	$18,422.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15,513.80 / $15,513.80 / $19,314.68	Professional		$15,513.80	$15,513.80	$19,314.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,261.10 / $8,261.10 / $8,261.10	Professional		$8,261.10	$8,261.10	$8,261.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21,176.34 / $21,176.34 / $21,176.34	Professional		$21,176.34	$21,176.34	$21,176.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,878.45 / $3,878.45 / $3,878.45	Facility		$3,878.45	$3,878.45	$3,878.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,685.96 / $2,327.07 / $8,144.75	Professional		$1,685.96	$2,327.07	$8,144.75