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 / $3,548.13	Facility		$1,000.00	$1,000.00	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,778.28	Professional		$912.01	$1,000.00	$1,778.28
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 / $3,090.30	Facility		$1,698.24	$1,698.24	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $5,623.41	Professional		$870.96	$1,318.26	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $16,595.87	Facility		$3,548.13	$3,548.13	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,479.11	Professional		$794.33	$1,071.52	$1,479.11