Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.51 / $1,351.76 / $1,700.00	Facility		$868.51	$1,351.76	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.64 / $925.31 / $1,320.43	Professional		$858.64	$925.31	$1,320.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $937.46 / $1,046.83 / $1,140.55	Facility		$937.46	$1,046.83	$1,140.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $520.16 / $1,013.82 / $1,013.82	Professional		$520.16	$1,013.82	$1,013.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,003.62 / $1,003.62 / $1,003.62	Facility		$1,003.62	$1,003.62	$1,003.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.94 / $1,275.48 / $2,513.98	Professional		$855.94	$1,275.48	$2,513.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,705.23 / $13,705.23 / $13,705.23	Facility		$13,705.23	$13,705.23	$13,705.23
United Facility/Professional Professional Modifier Low / Median / High Price $685.72 / $979.60 / $1,405.26	Professional		$685.72	$979.60	$1,405.26