Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.09 / $826.09 / $1,700.00	Facility		$826.09	$826.09	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.52 / $826.09 / $906.93	Professional		$440.52	$826.09	$906.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,894.54 / $13,668.64 / $28,112.50	Facility		$2,894.54	$13,668.64	$28,112.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119,998.80 / $119,998.80 / $119,998.80	Professional		$119,998.80	$119,998.80	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.47 / $989.47 / $989.47	Facility		$989.47	$989.47	$989.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,113.18 / $4,119.12 / $4,119.12	Professional		$1,113.18	$4,119.12	$4,119.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $51,157.59 / $51,157.59 / $51,157.59	Facility		$51,157.59	$51,157.59	$51,157.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,520.59 / $1,520.59 / $1,520.59	Professional		$1,520.59	$1,520.59	$1,520.59
United Facility/Professional Professional Modifier Low / Median / High Price $225.55 / $668.51 / $1,337.02	Professional		$225.55	$668.51	$1,337.02