Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.03 / $1,119.03 / $1,119.03	Facility		$1,119.03	$1,119.03	$1,119.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.52 / $1,070.98 / $1,354.53	Professional		$1,034.52	$1,070.98	$1,354.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,407.93 / $2,821.76 / $3,790.57	Facility		$1,407.93	$2,821.76	$3,790.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,407.93 / $1,516.23 / $2,508.23	Professional		$1,407.93	$1,516.23	$2,508.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $2,737.55	Facility		$1,306.07	$1,306.07	$2,737.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $1,306.07 / $11,473.91	Professional		$953.43	$1,306.07	$11,473.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,732.84 / $1,732.84 / $1,732.84	Professional		$1,732.84	$1,732.84	$1,732.84
United Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $1,124.82 / $1,801.02	Professional		$874.00	$1,124.82	$1,801.02