Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.74 / $968.74 / $968.74	Facility		$968.74	$968.74	$968.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.75 / $927.14 / $996.99	Professional		$894.75	$927.14	$996.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,218.83 / $2,440.50 / $3,281.50	Facility		$1,218.83	$2,440.50	$3,281.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,218.83 / $1,312.60 / $2,169.34	Professional		$1,218.83	$1,312.60	$2,169.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $2,172.02	Facility		$1,037.25	$1,037.25	$2,172.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $1,037.25 / $9,103.58	Professional		$757.19	$1,037.25	$9,103.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.71 / $1,191.71 / $1,191.71	Professional		$1,191.71	$1,191.71	$1,191.71
United Facility/Professional Professional Modifier Low / Median / High Price $747.74 / $985.44 / $1,830.10	Professional		$747.74	$985.44	$1,830.10