Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.65 / $1,400.00 / $1,600.00	Facility		$353.65	$1,400.00	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.65 / $426.83 / $2,035.69	Professional		$353.65	$426.83	$2,035.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $404.32 / $404.32 / $485.47	Facility		$404.32	$404.32	$485.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $431.53 / $431.53 / $431.53	Professional		$431.53	$431.53	$431.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.32 / $648.32 / $648.32	Facility		$648.32	$648.32	$648.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.53 / $1,562.50 / $4,699.18	Professional		$431.53	$1,562.50	$4,699.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,176.25 / $11,176.25 / $11,176.25	Facility		$11,176.25	$11,176.25	$11,176.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,298.15 / $2,198.82 / $4,131.47	Professional		$1,298.15	$2,198.82	$4,131.47