Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.35 / $958.35 / $958.35	Facility		$958.35	$958.35	$958.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.05 / $958.35 / $1,152.65	Professional		$874.05	$958.35	$1,152.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,092.03 / $1,267.92 / $1,381.41	Facility		$1,092.03	$1,267.92	$1,381.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,227.92 / $1,227.92 / $1,227.92	Professional		$1,227.92	$1,227.92	$1,227.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.94 / $1,167.94 / $1,167.94	Facility		$1,167.94	$1,167.94	$1,167.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.13 / $116.13 / $116.13	Facility	AS	$116.13	$116.13	$116.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.22 / $1,438.87 / $4,889.35	Professional		$988.22	$1,438.87	$4,889.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,012.81 / $1,012.81 / $1,012.81	Facility		$1,012.81	$1,012.81	$1,012.81
United Facility/Professional Professional Modifier Low / Median / High Price $685.64 / $964.00 / $1,637.23	Professional		$685.64	$964.00	$1,637.23