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 / $1,412.54	Facility		$1,000.00	$1,000.00	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,737.80	Professional		$954.99	$1,096.48	$1,737.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,318.26	Facility		$1,047.13	$1,047.13	$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 $34.67 / $1,698.24 / $1,698.24	Facility		$34.67	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $5,888.44	Professional		$891.25	$1,412.54	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,659.59	Professional		$794.33	$1,071.52	$1,659.59