Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,437.92 / $1,437.92 / $1,437.92	Facility		$1,437.92	$1,437.92	$1,437.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.59 / $1,388.90 / $1,700.82	Professional		$638.59	$1,388.90	$1,700.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,596.55 / $1,716.72 / $2,111.56	Professional		$1,596.55	$1,716.72	$2,111.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,673.78 / $3,673.78 / $3,673.78	Facility		$3,673.78	$3,673.78	$3,673.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,613.72 / $5,391.51 / $6,126.72	Facility		$4,613.72	$5,391.51	$6,126.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $2,487.66 / $3,249.01	Professional		$742.34	$2,487.66	$3,249.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,261.79 / $1,437.92 / $1,716.72	Facility		$1,261.79	$1,437.92	$1,716.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,253.79 / $1,459.21 / $1,802.56	Facility		$1,253.79	$1,459.21	$1,802.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $642.97 / $856.46 / $1,599.69	Professional		$642.97	$856.46	$1,599.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $65.00 / $1,414.70	Professional		$58.40	$65.00	$1,414.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,261.79 / $1,437.92 / $1,716.72	Facility		$1,261.79	$1,437.92	$1,716.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,706.44 / $2,575.08 / $4,491.17	Professional		$1,706.44	$2,575.08	$4,491.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,484.94 / $3,484.94 / $7,992.50	Facility		$3,484.94	$3,484.94	$7,992.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $7,544.16 / $10,207.25	Professional		$742.34	$7,544.16	$10,207.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,716.72 / $1,716.72 / $1,716.72	Professional		$1,716.72	$1,716.72	$1,716.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.50 / $1,305.50 / $1,716.72	Professional		$1,305.50	$1,305.50	$1,716.72
United Facility/Professional Professional Modifier Low / Median / High Price $604.12 / $820.70 / $1,414.70	Professional		$604.12	$820.70	$1,414.70