Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,551.44 / $2,551.44 / $2,551.44	Facility		$2,551.44	$2,551.44	$2,551.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,700.96 / $2,551.44 / $2,551.44	Professional		$1,700.96	$2,551.44	$2,551.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $3,609.10 / $10,068.92	Professional		$21.15	$3,609.10	$10,068.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,235.19 / $3,235.19 / $3,235.19	Facility		$3,235.19	$3,235.19	$3,235.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,850.97 / $6,837.32 / $10,488.63	Facility		$5,850.97	$6,837.32	$10,488.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,516.61 / $5,725.43 / $6,506.18	Professional		$2,516.61	$5,725.43	$6,506.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,637.17 / $2,551.44 / $7,441.70	Facility		$1,637.17	$2,551.44	$7,441.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,637.17 / $2,551.44 / $7,441.70	Facility		$1,637.17	$2,551.44	$7,441.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,063.09 / $1,275.72 / $6,556.88	Professional		$1,063.09	$1,275.72	$6,556.88
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 $1,637.17 / $2,551.44 / $7,441.70	Facility		$1,637.17	$2,551.44	$7,441.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,549.42 / $5,069.75 / $7,110.67	Professional		$3,549.42	$5,069.75	$7,110.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,252.39 / $10,099.45 / $10,099.45	Facility		$4,252.39	$10,099.45	$10,099.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,504.79 / $8,504.79 / $10,588.48	Professional		$8,504.79	$8,504.79	$10,588.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,528.81 / $4,528.81 / $4,528.81	Professional		$4,528.81	$4,528.81	$4,528.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,609.05 / $11,609.05 / $11,609.05	Professional		$11,609.05	$11,609.05	$11,609.05
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $1,275.72 / $4,465.02	Professional		$893.00	$1,275.72	$4,465.02