Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.13 / $1,545.96 / $2,310.52	Facility		$58.13	$1,545.96	$2,310.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.91 / $1,214.63 / $1,263.70	Professional		$866.91	$1,214.63	$1,263.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,754.53 / $69,999.30	Facility		$1,238.93	$1,754.53	$69,999.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,463.48 / $1,721.74	Professional		$1,238.93	$1,463.48	$1,721.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.41 / $1,238.93 / $1,762.18	Professional		$1,179.41	$1,238.93	$1,762.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,816.09 / $2,620.96 / $3,489.26	Facility		$1,816.09	$2,620.96	$3,489.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,269.91 / $1,269.91 / $1,269.91	Professional		$1,269.91	$1,269.91	$1,269.91
United Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,457.56	Professional		$485.85	$1,214.63	$1,457.56