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 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,041.74	Professional		$891.25	$1,096.48	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,818.38	Facility		$1,380.38	$1,380.38	$2,818.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,511.89	Professional		$1,479.11	$1,479.11	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,630.78 / $3,630.78	Facility		$1,621.81	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $10,964.78	Professional		$1,202.26	$1,202.26	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $2,344.23	Facility		$1,348.96	$1,380.38	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,698.24	Professional		$1,000.00	$1,288.25	$1,698.24