Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.58 / $693.58 / $693.58	Facility		$693.58	$693.58	$693.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.55 / $693.58 / $755.88	Professional		$646.55	$693.58	$755.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $935.79 / $1,812.40 / $2,349.41	Facility		$935.79	$1,812.40	$2,349.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $872.64 / $1,007.77 / $1,727.60	Professional		$872.64	$1,007.77	$1,727.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.42 / $840.60 / $1,687.12	Facility		$829.42	$840.60	$1,687.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $840.60 / $6,847.20	Professional		$613.64	$840.60	$6,847.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,074.02 / $1,074.02 / $1,074.02	Professional		$1,074.02	$1,074.02	$1,074.02
United Facility/Professional Professional Modifier Low / Median / High Price $520.20 / $677.28 / $1,050.76	Professional		$520.20	$677.28	$1,050.76