Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,503.52 / $3,503.52 / $3,503.52	Facility		$3,503.52	$3,503.52	$3,503.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,248.09 / $2,800.00 / $3,503.52	Professional		$2,248.09	$2,800.00	$3,503.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $4,970.00 / $14,598.00	Professional		$1,167.83	$4,970.00	$14,598.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,325.55 / $5,325.55 / $5,325.55	Facility		$5,325.55	$5,325.55	$5,325.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,764.05 / $10,048.19 / $13,918.07	Facility		$7,764.05	$10,048.19	$13,918.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,142.45 / $8,179.51 / $9,294.90	Professional		$4,142.45	$8,179.51	$9,294.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,248.09 / $3,850.00 / $12,250.00	Facility		$2,248.09	$3,850.00	$12,250.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,248.09 / $4,200.00 / $12,250.00	Facility		$2,248.09	$4,200.00	$12,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,459.80 / $1,869.42 / $8,087.29	Professional		$1,459.80	$1,869.42	$8,087.29
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 $2,248.09 / $3,850.00 / $12,250.00	Facility		$2,248.09	$3,850.00	$12,250.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,842.80 / $8,345.46 / $11,705.08	Professional		$5,842.80	$8,345.46	$11,705.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,200.00 / $16,380.00 / $16,380.00	Facility		$4,200.00	$16,380.00	$16,380.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12,250.00 / $17,430.00 / $17,430.00	Professional		$12,250.00	$17,430.00	$17,430.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,218.75 / $6,218.75 / $6,218.75	Professional		$6,218.75	$6,218.75	$6,218.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $10,171.00 / $18,375.00	Professional		$3,500.00	$10,171.00	$18,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,269.15 / $1,751.76 / $6,131.16	Professional		$1,269.15	$1,751.76	$6,131.16