Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.53 / $1,400.00 / $1,700.00	Facility		$963.53	$1,400.00	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.53 / $1,051.77 / $1,379.84	Professional		$963.53	$1,051.77	$1,379.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,022.46 / $1,132.43 / $1,233.79	Facility		$1,022.46	$1,132.43	$1,233.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.78 / $1,096.70 / $1,096.70	Professional		$562.78	$1,096.70	$1,096.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.38 / $1,111.38 / $1,111.38	Facility		$1,111.38	$1,111.38	$1,111.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.68 / $1,370.88 / $2,542.29	Professional		$946.68	$1,370.88	$2,542.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,999.13 / $7,999.13 / $7,999.13	Facility		$7,999.13	$7,999.13	$7,999.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,519.65 / $1,519.65 / $1,519.65	Professional		$1,519.65	$1,519.65	$1,519.65
United Facility/Professional Professional Modifier Low / Median / High Price $749.18 / $1,073.21 / $1,507.97	Professional		$749.18	$1,073.21	$1,507.97