Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $2,281.10	Facility		$2,160.00	$2,160.00	$2,281.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.66 / $1,496.40 / $1,551.15	Professional		$1,368.66	$1,496.40	$1,551.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,824.88 / $2,463.59 / $3,011.05	Facility		$1,824.88	$2,463.59	$3,011.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,824.88 / $2,463.59 / $2,463.59	Professional		$1,824.88	$2,463.59	$2,463.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,482.71 / $2,514.19 / $5,474.17	Facility		$1,482.71	$2,514.19	$5,474.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.96 / $3,422.39 / $8,795.92	Professional		$977.96	$3,422.39	$8,795.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,805.89 / $1,942.11 / $5,962.53	Facility		$1,805.89	$1,942.11	$5,962.53
United Facility/Professional Professional Modifier Low / Median / High Price $821.20 / $1,094.93 / $3,355.91	Professional		$821.20	$1,094.93	$3,355.91