Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,436.00 / $3,045.00 / $4,526.89	Facility		$2,436.00	$3,045.00	$4,526.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,563.10 / $1,928.50 / $3,085.60	Professional		$1,563.10	$1,928.50	$3,085.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $8,694.92	Professional		$200.00	$200.00	$8,694.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,961.13 / $4,961.13 / $5,156.20	Facility		$4,961.13	$4,961.13	$5,156.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,586.94 / $6,528.79 / $10,015.33	Facility		$5,586.94	$6,528.79	$10,015.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,332.62 / $5,466.38 / $6,211.80	Professional		$2,332.62	$5,466.38	$6,211.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,563.10 / $2,436.00 / $7,105.00	Facility		$1,563.10	$2,436.00	$7,105.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,827.00 / $2,436.00 / $7,105.00	Facility		$1,827.00	$2,436.00	$7,105.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,015.00 / $1,218.00 / $6,260.22	Professional		$1,015.00	$1,218.00	$6,260.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,015.00	Professional		$50.00	$70.00	$1,015.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,563.10 / $2,436.00 / $7,105.00	Facility		$1,563.10	$2,436.00	$7,105.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,647.61 / $4,840.68 / $6,789.38	Professional		$3,647.61	$4,840.68	$6,789.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,060.00 / $9,642.50 / $9,642.50	Facility		$4,060.00	$9,642.50	$9,642.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,943.50 / $10,150.00 / $10,150.00	Professional		$2,943.50	$10,150.00	$10,150.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,322.97 / $4,322.97 / $4,322.97	Professional		$4,322.97	$4,322.97	$4,322.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,899.61 / $11,083.80 / $11,083.80	Professional		$5,899.61	$11,083.80	$11,083.80
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $1,218.00 / $3,778.64	Professional		$852.60	$1,218.00	$3,778.64