Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,922.00 / $2,922.00 / $2,922.00	Facility		$2,922.00	$2,922.00	$2,922.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,874.95 / $2,288.90 / $2,922.00	Professional		$1,874.95	$2,288.90	$2,922.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.00 / $4,012.88 / $13,025.22	Professional		$974.00	$4,012.88	$13,025.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,705.24 / $3,705.24 / $3,705.24	Facility		$3,705.24	$3,705.24	$3,705.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,700.73 / $7,830.33 / $12,011.93	Facility		$6,700.73	$7,830.33	$12,011.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,882.02 / $6,556.97 / $7,451.10	Professional		$2,882.02	$6,556.97	$7,451.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,874.95 / $2,922.00 / $8,522.50	Facility		$1,874.95	$2,922.00	$8,522.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,874.95 / $2,922.00 / $8,522.50	Facility		$1,874.95	$2,922.00	$8,522.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,217.50 / $1,461.00 / $7,509.17	Professional		$1,217.50	$1,461.00	$7,509.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,874.95 / $2,922.00 / $8,522.50	Facility		$1,874.95	$2,922.00	$8,522.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,065.12 / $5,806.35 / $8,143.79	Professional		$4,065.12	$5,806.35	$8,143.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,870.00 / $11,566.25 / $11,566.25	Facility		$4,870.00	$11,566.25	$11,566.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,740.00 / $9,740.00 / $12,126.30	Professional		$9,740.00	$9,740.00	$12,126.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,186.55 / $5,186.55 / $5,186.55	Professional		$5,186.55	$5,186.55	$5,186.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,295.10 / $13,295.10 / $13,295.10	Professional		$13,295.10	$13,295.10	$13,295.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,095.75 / $1,564.97 / $6,457.84	Professional		$1,095.75	$1,564.97	$6,457.84