Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.87 / $796.41 / $1,700.00	Facility		$657.87	$796.41	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.54 / $755.77 / $893.24	Professional		$631.54	$755.77	$893.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $684.78 / $821.74 / $895.29	Facility		$684.78	$821.74	$895.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $795.82 / $795.82 / $795.82	Professional		$795.82	$795.82	$795.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,195.28 / $1,195.28 / $1,195.28	Facility		$1,195.28	$1,195.28	$1,195.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $667.14 / $948.74 / $2,219.67	Professional		$667.14	$948.74	$2,219.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,066.84 / $1,066.84 / $1,066.84	Professional		$1,066.84	$1,066.84	$1,066.84
United Facility/Professional Professional Modifier Low / Median / High Price $663.51 / $986.97 / $1,376.44	Professional		$663.51	$986.97	$1,376.44