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 $1,122.02 / $1,122.02 / $1,380.38	Facility		$1,122.02	$1,122.02	$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 / $1,479.11 / $6,309.57	Professional		$912.01	$1,479.11	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,884.03	Facility		$2,754.23	$2,754.23	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,819.70	Professional		$831.76	$1,148.15	$1,819.70