Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,351.32 / $1,351.32 / $1,351.32	Facility		$1,351.32	$1,351.32	$1,351.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,351.32 / $1,351.32 / $1,468.88	Professional		$1,351.32	$1,351.32	$1,468.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,145.98 / $3,720.32 / $4,851.47	Facility		$2,145.98	$3,720.32	$4,851.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,791.26 / $2,311.06 / $3,961.82	Professional		$1,791.26	$2,311.06	$3,961.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $1,721.98 / $3,868.97	Facility		$1,721.98	$1,721.98	$3,868.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,721.98 / $15,227.83	Professional		$1,257.05	$1,721.98	$15,227.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,751.39 / $1,751.39 / $1,929.05	Professional		$1,751.39	$1,751.39	$1,929.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,123.22 / $3,123.22 / $3,123.22	Facility		$3,123.22	$3,123.22	$3,123.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,374.83 / $1,841.35 / $2,291.39	Professional		$1,374.83	$1,841.35	$2,291.39