Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.45 / $434.45 / $434.45	Facility		$434.45	$434.45	$434.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.25 / $437.94 / $586.95	Professional		$379.25	$437.94	$586.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $443.35 / $920.81 / $1,193.64	Facility		$443.35	$920.81	$1,193.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $443.35 / $477.46 / $818.50	Professional		$443.35	$477.46	$818.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.29 / $647.80 / $794.65	Facility		$621.29	$647.80	$794.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.90 / $472.90 / $3,096.90	Professional		$472.90	$472.90	$3,096.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.87 / $735.90 / $755.25	Professional		$613.87	$735.90	$755.25
United Facility/Professional Professional Modifier Low / Median / High Price $409.25 / $550.27 / $910.45	Professional		$409.25	$550.27	$910.45