Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.86 / $522.86 / $1,400.00	Facility		$522.86	$522.86	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.01 / $592.70 / $935.86	Professional		$486.01	$592.70	$935.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $605.42 / $605.42 / $738.95	Facility		$605.42	$605.42	$738.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $656.84 / $656.84 / $656.84	Professional		$656.84	$656.84	$656.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.78 / $648.78 / $648.78	Facility		$648.78	$648.78	$648.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.01 / $816.96 / $1,636.61	Professional		$554.01	$816.96	$1,636.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,341.44 / $1,341.44 / $1,341.44	Professional		$1,341.44	$1,341.44	$1,341.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,910.00 / $2,910.00 / $2,910.00	Facility		$2,910.00	$2,910.00	$2,910.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.53 / $347.22 / $531.82	Professional		$218.53	$347.22	$531.82