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 $870.96 / $1,000.00 / $1,445.44	Professional		$870.96	$1,000.00	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,380.38	Facility		$1,148.15	$1,148.15	$1,380.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,819.70 / $1,819.70	Facility		$34.67	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $5,754.40	Professional		$912.01	$1,412.54	$5,754.40
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 / $1,096.48 / $1,698.24	Professional		$794.33	$1,096.48	$1,698.24