Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.61 / $1,700.00 / $7,030.91	Facility		$226.61	$1,700.00	$7,030.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.61 / $471.67 / $2,776.32	Professional		$226.61	$471.67	$2,776.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.49 / $259.75 / $283.00	Facility		$231.49	$259.75	$283.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.56 / $251.56 / $251.56	Professional		$251.56	$251.56	$251.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.18 / $371.18 / $371.18	Facility		$371.18	$371.18	$371.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.48 / $1,007.19 / $5,327.57	Professional		$293.48	$1,007.19	$5,327.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.22 / $296.22 / $505.82	Professional		$296.22	$296.22	$505.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,708.94 / $3,074.47 / $5,294.92	Professional		$1,708.94	$3,074.47	$5,294.92