Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,546.80 / $11,219.60 / $11,219.60	Facility		$7,546.80	$11,219.60	$11,219.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,647.42 / $32,350.60 / $32,350.60	Professional		$7,647.42	$32,350.60	$32,350.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $21,549.69	Professional		$846.27	$846.27	$21,549.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,295.79 / $12,295.79 / $12,779.25	Facility		$12,295.79	$12,295.79	$12,779.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,845.71 / $16,179.81 / $24,820.24	Facility		$13,845.71	$16,179.81	$24,820.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,781.59 / $13,548.02 / $15,395.48	Professional		$5,781.59	$13,548.02	$15,395.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,534.32 / $8,804.60 / $17,609.20	Facility		$5,534.32	$8,804.60	$17,609.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,534.32 / $6,792.12 / $17,609.20	Facility		$5,534.32	$6,792.12	$17,609.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,515.60 / $3,018.72 / $15,515.47	Professional		$2,515.60	$3,018.72	$15,515.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $2,515.60	Professional		$50.00	$70.00	$2,515.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5,534.32 / $8,804.60 / $17,609.20	Facility		$5,534.32	$8,804.60	$17,609.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,039.98 / $11,996.80 / $16,826.32	Professional		$9,039.98	$11,996.80	$16,826.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,062.40 / $23,898.20 / $23,898.20	Facility		$10,062.40	$23,898.20	$23,898.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,295.24 / $25,156.00 / $25,156.00	Professional		$7,295.24	$25,156.00	$25,156.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,714.16 / $10,714.16 / $10,714.16	Professional		$10,714.16	$10,714.16	$10,714.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,621.74 / $27,470.35 / $27,470.35	Professional		$14,621.74	$27,470.35	$27,470.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,113.10 / $3,018.72 / $10,565.52	Professional		$2,113.10	$3,018.72	$10,565.52