Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,664.75 / $7,667.58 / $12,679.66	Facility		$4,664.75	$7,667.58	$12,679.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.34 / $1,294.27 / $2,325.55	Professional		$1,140.34	$1,294.27	$2,325.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,175.86 / $1,281.35 / $1,396.06	Facility		$1,175.86	$1,281.35	$1,396.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,081.56 / $1,174.58 / $1,388.14	Professional		$1,081.56	$1,174.58	$1,388.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.49 / $1,266.49 / $1,266.49	Facility		$1,266.49	$1,266.49	$1,266.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $126.05 / $126.05 / $126.05	Facility	AS	$126.05	$126.05	$126.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.35 / $1,447.77 / $5,985.89	Professional		$1,071.35	$1,447.77	$5,985.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,247.02 / $10,209.29 / $15,722.80	Facility		$4,247.02	$10,209.29	$15,722.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,106.60 / $1,707.74 / $1,810.21	Professional		$1,106.60	$1,707.74	$1,810.21
United Facility/Professional Facility Modifier Low / Median / High Price $11,278.75 / $11,278.75 / $11,278.75	Facility		$11,278.75	$11,278.75	$11,278.75
United Facility/Professional Professional Modifier Low / Median / High Price $886.05 / $1,353.47 / $2,113.89	Professional		$886.05	$1,353.47	$2,113.89