Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,548.82	Professional		$831.76	$954.99	$1,548.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,630.27	Facility		$1,258.93	$1,258.93	$2,630.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,344.23	Professional		$1,380.38	$1,380.38	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,311.31 / $3,311.31	Facility		$1,174.90	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $10,000.00	Professional		$870.96	$870.96	$10,000.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,041.74	Facility		$870.96	$1,174.90	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,479.11	Professional		$794.33	$1,000.00	$1,479.11