Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,124.58 / $2,124.58 / $2,124.58	Facility		$2,124.58	$2,124.58	$2,124.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,363.27 / $1,681.96 / $2,124.58	Professional		$1,363.27	$1,681.96	$2,124.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $7,222.23	Professional		$33.20	$33.20	$7,222.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,693.78 / $2,693.78 / $2,693.78	Facility		$2,693.78	$2,693.78	$2,693.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,872.35 / $5,693.73 / $8,734.33	Facility		$4,872.35	$5,693.73	$8,734.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,095.46 / $4,767.55 / $5,417.68	Professional		$2,095.46	$4,767.55	$5,417.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,363.27 / $2,124.58 / $6,196.68	Facility		$1,363.27	$2,124.58	$6,196.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,363.27 / $2,124.58 / $6,196.68	Facility		$1,363.27	$2,124.58	$6,196.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $885.24 / $1,062.29 / $5,459.89	Professional		$885.24	$1,062.29	$5,459.89
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 $1,363.27 / $2,124.58 / $6,196.68	Facility		$1,363.27	$2,124.58	$6,196.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,955.42 / $4,221.32 / $5,920.69	Professional		$2,955.42	$4,221.32	$5,920.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,540.96 / $8,409.78 / $8,409.78	Facility		$3,540.96	$8,409.78	$8,409.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,081.92 / $7,081.92 / $8,816.99	Professional		$7,081.92	$7,081.92	$8,816.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,771.12 / $3,771.12 / $3,771.12	Professional		$3,771.12	$3,771.12	$3,771.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,666.82 / $9,666.82 / $9,666.82	Professional		$9,666.82	$9,666.82	$9,666.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,416.38 / $1,416.38 / $3,841.94	Facility		$1,416.38	$1,416.38	$3,841.94
United Facility/Professional Professional Modifier Low / Median / High Price $796.72 / $1,062.29 / $4,361.07	Professional		$796.72	$1,062.29	$4,361.07