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 / $2,570.40	Facility		$1,000.00	$1,000.00	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,659.59	Professional		$831.76	$1,023.29	$1,659.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,288.25	Facility		$1,071.52	$1,071.52	$1,288.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,511.89	Facility		$1,698.24	$1,698.24	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $6,456.54	Professional		$912.01	$1,412.54	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $20,417.38	Facility		$3,548.13	$3,548.13	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,584.89	Professional		$758.58	$1,096.48	$1,584.89