Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,180.00 / $3,180.00 / $3,180.00	Facility		$3,180.00	$3,180.00	$3,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,040.50 / $2,491.00 / $3,180.00	Professional		$2,040.50	$2,491.00	$3,180.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $10,810.01	Professional		$208.00	$208.00	$10,810.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,032.54 / $4,032.54 / $4,032.54	Facility		$4,032.54	$4,032.54	$4,032.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,292.76 / $8,522.17 / $13,073.23	Facility		$7,292.76	$8,522.17	$13,073.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,136.40 / $7,135.92 / $8,109.00	Professional		$3,136.40	$7,135.92	$8,109.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,040.50 / $3,180.00 / $9,275.00	Facility		$2,040.50	$3,180.00	$9,275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,040.50 / $3,180.00 / $9,275.00	Facility		$2,040.50	$3,180.00	$9,275.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,325.00 / $1,590.00 / $8,172.20	Professional		$1,325.00	$1,590.00	$8,172.20
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 $2,040.50 / $3,180.00 / $9,275.00	Facility		$2,040.50	$3,180.00	$9,275.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,424.22 / $6,319.26 / $8,863.19	Professional		$4,424.22	$6,319.26	$8,863.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,300.00 / $12,587.50 / $12,587.50	Facility		$5,300.00	$12,587.50	$12,587.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,600.00 / $10,600.00 / $13,197.00	Professional		$10,600.00	$10,600.00	$13,197.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,644.50 / $5,644.50 / $5,644.50	Professional		$5,644.50	$5,644.50	$5,644.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,469.00 / $14,469.00 / $14,469.00	Professional		$14,469.00	$14,469.00	$14,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,151.96 / $1,590.00 / $4,932.71	Professional		$1,151.96	$1,590.00	$4,932.71