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 $977.24 / $1,071.52 / $1,202.26	Professional		$977.24	$1,071.52	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,288.25	Facility		$1,023.29	$1,023.29	$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 $34.67 / $1,659.59 / $1,659.59	Facility		$34.67	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,548.82 / $4,466.84	Professional		$812.83	$1,548.82	$4,466.84
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 $812.83 / $1,174.90 / $1,778.28	Professional		$812.83	$1,174.90	$1,778.28