Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $1,348.96	Facility		$630.96	$870.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $478.63	Professional		$288.40	$338.84	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $562.34	Facility		$489.78	$489.78	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $660.69 / $1,258.93	Facility		$346.74	$660.69	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,995.26 / $1,995.26	Professional		$223.87	$1,995.26	$1,995.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $575.44 / $812.83	Facility		$524.81	$575.44	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $575.44	Professional		$186.21	$239.88	$575.44