Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.67 / $1,052.67 / $3,550.00	Facility		$1,052.67	$1,052.67	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.18 / $1,052.67 / $1,239.92	Professional		$901.18	$1,052.67	$1,239.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,184.68 / $1,329.16 / $1,448.15	Facility		$1,184.68	$1,329.16	$1,448.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,287.24 / $1,287.24 / $1,287.24	Professional		$1,287.24	$1,287.24	$1,287.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,276.39 / $1,276.39 / $1,276.39	Facility		$1,276.39	$1,276.39	$1,276.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.24 / $1,585.90 / $6,740.76	Professional		$1,078.24	$1,585.90	$6,740.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,698.50 / $23,698.50 / $56,213.97	Facility		$23,698.50	$23,698.50	$56,213.97
United Facility/Professional Professional Modifier Low / Median / High Price $900.71 / $1,509.17 / $1,985.45	Professional		$900.71	$1,509.17	$1,985.45