Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.39 / $495.39 / $2,300.00	Facility		$495.39	$495.39	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.35 / $502.72 / $565.20	Professional		$450.35	$502.72	$565.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $523.48 / $579.16 / $631.02	Facility		$523.48	$579.16	$631.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $560.90 / $560.90 / $560.90	Professional		$560.90	$560.90	$560.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.23 / $560.23 / $560.23	Facility		$560.23	$560.23	$560.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.08 / $701.13 / $2,923.27	Professional		$482.08	$701.13	$2,923.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,492.64 / $4,492.64 / $4,492.64	Facility		$4,492.64	$4,492.64	$4,492.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,910.00 / $2,910.00 / $2,910.00	Facility		$2,910.00	$2,910.00	$2,910.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.88 / $587.33 / $867.01	Professional		$396.88	$587.33	$867.01