Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,506.47 / $5,212.96 / $5,212.96	Facility		$3,506.47	$5,212.96	$5,212.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,553.23 / $15,031.10 / $15,031.10	Professional		$3,553.23	$15,031.10	$15,031.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $423.14 / $10,012.66	Professional		$423.14	$423.14	$10,012.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,713.00 / $5,713.00 / $5,937.63	Facility		$5,713.00	$5,713.00	$5,937.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,433.10 / $7,517.58 / $11,532.16	Facility		$6,433.10	$7,517.58	$11,532.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,686.15 / $6,294.83 / $7,153.21	Professional		$2,686.15	$6,294.83	$7,153.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,571.42 / $4,090.89 / $8,181.78	Facility		$2,571.42	$4,090.89	$8,181.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,571.42 / $3,155.83 / $8,181.78	Facility		$2,571.42	$3,155.83	$8,181.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,168.83 / $1,402.59 / $7,208.96	Professional		$1,168.83	$1,402.59	$7,208.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $6,451.91	Professional		$50.00	$70.00	$6,451.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,571.42 / $4,090.89 / $8,181.78	Facility		$2,571.42	$4,090.89	$8,181.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,200.33 / $5,574.19 / $7,818.17	Professional		$4,200.33	$5,574.19	$7,818.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,675.30 / $11,103.84 / $11,103.84	Facility		$4,675.30	$11,103.84	$11,103.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,389.59 / $11,688.25 / $11,688.25	Professional		$3,389.59	$11,688.25	$11,688.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,978.13 / $4,978.13 / $4,978.13	Professional		$4,978.13	$4,978.13	$4,978.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,793.71 / $12,763.57 / $12,763.57	Professional		$6,793.71	$12,763.57	$12,763.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,051.94 / $1,402.59 / $4,351.30	Professional		$1,051.94	$1,402.59	$4,351.30