Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,064.92 / $6,043.19 / $6,043.19	Facility		$4,064.92	$6,043.19	$6,043.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,119.12 / $17,425.00 / $17,425.00	Professional		$4,119.12	$17,425.00	$17,425.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $11,607.29	Professional		$846.27	$846.27	$11,607.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,622.86 / $6,622.86 / $6,883.27	Facility		$6,622.86	$6,622.86	$6,883.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,457.67 / $8,714.87 / $13,368.84	Facility		$7,457.67	$8,714.87	$13,368.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,114.02 / $7,297.36 / $8,292.45	Professional		$3,114.02	$7,297.36	$8,292.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,980.95 / $4,742.41 / $9,484.83	Facility		$2,980.95	$4,742.41	$9,484.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,980.95 / $3,658.43 / $9,484.83	Facility		$2,980.95	$3,658.43	$9,484.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,354.98 / $1,625.97 / $8,357.08	Professional		$1,354.98	$1,625.97	$8,357.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $2,709.95	Professional		$50.00	$70.00	$2,709.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,980.95 / $4,742.41 / $9,484.83	Facility		$2,980.95	$4,742.41	$9,484.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,869.29 / $6,461.95 / $9,063.32	Professional		$4,869.29	$6,461.95	$9,063.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,419.90 / $12,872.26 / $12,872.26	Facility		$5,419.90	$12,872.26	$12,872.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,929.43 / $13,549.75 / $13,549.75	Professional		$3,929.43	$13,549.75	$13,549.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,770.96 / $5,770.96 / $5,770.96	Professional		$5,770.96	$5,770.96	$5,770.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,875.69 / $14,796.33 / $14,796.33	Professional		$7,875.69	$14,796.33	$14,796.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,178.02 / $1,625.97 / $5,044.30	Professional		$1,178.02	$1,625.97	$5,044.30