Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,280.23 / $2,280.23 / $2,280.23	Facility		$2,280.23	$2,280.23	$2,280.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,463.16 / $1,805.19 / $2,280.23	Professional		$1,463.16	$1,805.19	$2,280.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $3,131.53 / $10,164.48	Professional		$500.00	$3,131.53	$10,164.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,891.64 / $2,891.64 / $2,891.64	Facility		$2,891.64	$2,891.64	$2,891.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,229.20 / $6,110.73 / $9,374.02	Facility		$5,229.20	$6,110.73	$9,374.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,249.04 / $5,116.85 / $5,814.61	Professional		$2,249.04	$5,116.85	$5,814.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,463.16 / $2,280.23 / $6,650.70	Facility		$1,463.16	$2,280.23	$6,650.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,463.16 / $2,280.23 / $6,650.70	Facility		$1,463.16	$2,280.23	$6,650.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $950.10 / $1,140.11 / $5,859.93	Professional		$950.10	$1,140.11	$5,859.93
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 $1,463.16 / $2,280.23 / $6,650.70	Facility		$1,463.16	$2,280.23	$6,650.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,172.50 / $4,531.39 / $6,355.58	Professional		$3,172.50	$4,531.39	$6,355.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,800.40 / $9,025.95 / $9,025.95	Facility		$3,800.40	$9,025.95	$9,025.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,600.80 / $7,600.80 / $9,463.00	Professional		$7,600.80	$7,600.80	$9,463.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,047.43 / $4,047.43 / $4,047.43	Professional		$4,047.43	$4,047.43	$4,047.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,375.09 / $10,375.09 / $10,375.09	Professional		$10,375.09	$10,375.09	$10,375.09
United Facility/Professional Professional Modifier Low / Median / High Price $826.02 / $1,140.11 / $3,537.03	Professional		$826.02	$1,140.11	$3,537.03