Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.86 / $1,129.86 / $2,600.00	Facility		$1,129.86	$1,129.86	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.86 / $1,349.70 / $1,371.12	Professional		$1,129.86	$1,349.70	$1,371.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,489.79 / $1,489.79 / $1,818.21	Facility		$1,489.79	$1,489.79	$1,818.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,616.18 / $1,616.18 / $1,616.18	Professional		$1,616.18	$1,616.18	$1,616.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,495.62 / $1,495.62 / $1,495.62	Facility		$1,495.62	$1,495.62	$1,495.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,186.08 / $1,505.58 / $6,220.84	Professional		$1,186.08	$1,505.58	$6,220.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $35,093.30 / $35,093.30 / $77,030.24	Facility		$35,093.30	$35,093.30	$77,030.24
United Facility/Professional Professional Modifier Low / Median / High Price $641.99 / $1,034.31 / $1,963.53	Professional		$641.99	$1,034.31	$1,963.53