Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $1,400.00 / $6,451.20	Facility		$715.00	$1,400.00	$6,451.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.66 / $715.00 / $869.88	Professional		$639.66	$715.00	$869.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $840.72 / $965.83 / $1,052.30	Facility		$840.72	$965.83	$1,052.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $935.38 / $935.38 / $935.38	Professional		$935.38	$935.38	$935.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.25 / $907.25 / $907.25	Facility		$907.25	$907.25	$907.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.38 / $1,124.81 / $4,326.14	Professional		$760.38	$1,124.81	$4,326.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,696.38 / $12,696.38 / $12,696.38	Facility		$12,696.38	$12,696.38	$12,696.38
United Facility/Professional Facility Modifier Low / Median / High Price $16,357.60 / $16,357.60 / $16,357.60	Facility		$16,357.60	$16,357.60	$16,357.60
United Facility/Professional Professional Modifier Low / Median / High Price $623.58 / $897.61 / $1,386.49	Professional		$623.58	$897.61	$1,386.49