Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,698.24	Facility		$1,000.00	$1,000.00	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,621.81	Professional		$912.01	$1,023.29	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,318.26	Facility		$1,071.52	$1,071.52	$1,318.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,862.09	Facility		$1,737.80	$1,737.80	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $7,079.46	Professional		$977.24	$1,621.81	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $20,417.38	Facility		$2,884.03	$2,884.03	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,778.28	Professional		$812.83	$1,230.27	$1,778.28