Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.20 / $857.20 / $1,400.00	Facility		$857.20	$857.20	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.40 / $857.20 / $1,047.45	Professional		$766.40	$857.20	$1,047.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,007.23 / $1,158.97 / $1,262.72	Facility		$1,007.23	$1,158.97	$1,262.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.42 / $1,122.42 / $1,122.42	Professional		$1,122.42	$1,122.42	$1,122.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,087.19 / $1,087.19 / $1,087.19	Facility		$1,087.19	$1,087.19	$1,087.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.75 / $1,309.49 / $5,284.63	Professional		$908.75	$1,309.49	$5,284.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,595.26 / $6,595.26 / $6,595.26	Facility		$6,595.26	$6,595.26	$6,595.26
United Facility/Professional Professional Modifier Low / Median / High Price $729.75 / $1,026.71 / $1,550.71	Professional		$729.75	$1,026.71	$1,550.71