Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.79 / $1,400.00 / $3,550.00	Facility		$1,102.79	$1,400.00	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,102.79 / $1,254.48 / $1,680.37	Professional		$1,102.79	$1,254.48	$1,680.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,186.69 / $1,325.14 / $1,443.76	Facility		$1,186.69	$1,325.14	$1,443.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $658.57 / $1,283.33 / $1,283.33	Professional		$658.57	$1,283.33	$1,283.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,272.28 / $1,272.28 / $1,272.28	Facility		$1,272.28	$1,272.28	$1,272.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.41 / $1,604.17 / $3,218.76	Professional		$1,086.41	$1,604.17	$3,218.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $32,024.12 / $32,024.12 / $32,024.12	Facility		$32,024.12	$32,024.12	$32,024.12
United Facility/Professional Professional Modifier Low / Median / High Price $860.56 / $1,254.21 / $1,778.49	Professional		$860.56	$1,254.21	$1,778.49