Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,566.60 / $2,600.00	Facility		$1,400.00	$1,566.60	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,422.26 / $1,634.99 / $2,394.61	Professional		$1,422.26	$1,634.99	$2,394.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,675.63 / $1,881.02 / $2,049.41	Facility		$1,675.63	$1,881.02	$2,049.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $934.58 / $1,821.70 / $1,821.70	Professional		$934.58	$1,821.70	$1,821.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,790.02 / $1,790.02 / $1,790.02	Facility		$1,790.02	$1,790.02	$1,790.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,524.32 / $2,216.16 / $4,621.68	Professional		$1,524.32	$2,216.16	$4,621.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,549.56 / $3,549.56 / $3,549.56	Professional		$3,549.56	$3,549.56	$3,549.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,186.19 / $1,674.65 / $2,428.92	Professional		$1,186.19	$1,674.65	$2,428.92