Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $1,392.00 / $2,671.41	Facility		$1,392.00	$1,392.00	$2,671.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.20 / $1,102.00 / $1,392.00	Professional		$893.20	$1,102.00	$1,392.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $4,731.93	Professional		$360.00	$360.00	$4,731.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,042.77 / $3,042.77 / $3,042.77	Facility		$3,042.77	$3,042.77	$3,042.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,192.67 / $3,730.89 / $5,723.27	Facility		$3,192.67	$3,730.89	$5,723.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.66 / $1,748.19 / $3,665.70	Professional		$612.66	$1,748.19	$3,665.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $893.20 / $1,392.00 / $4,192.79	Facility		$893.20	$1,392.00	$4,192.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $893.20 / $1,437.53 / $4,192.79	Facility		$893.20	$1,437.53	$4,192.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.00 / $718.76 / $3,577.27	Professional		$580.00	$718.76	$3,577.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $598.97	Professional		$50.00	$70.00	$598.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $893.20 / $1,392.00 / $4,192.79	Facility		$893.20	$1,392.00	$4,192.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,152.17 / $2,856.12 / $4,005.91	Professional		$2,152.17	$2,856.12	$4,005.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,395.88 / $5,690.22 / $5,690.22	Facility		$2,395.88	$5,690.22	$5,690.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $564.33 / $4,791.76 / $5,965.74	Professional		$564.33	$4,791.76	$5,965.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,470.80 / $2,470.80 / $2,470.80	Professional		$2,470.80	$2,470.80	$2,470.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,333.60 / $6,333.60 / $6,333.60	Professional		$6,333.60	$6,333.60	$6,333.60
United Facility/Professional Professional Modifier Low / Median / High Price $504.25 / $696.00 / $2,436.00	Professional		$504.25	$696.00	$2,436.00