Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,934.37 / $1,934.37 / $1,934.37	Facility		$1,934.37	$1,934.37	$1,934.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,934.37 / $1,934.37 / $2,102.67	Professional		$1,934.37	$1,934.37	$2,102.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,110.66 / $5,325.53 / $6,903.47	Facility		$3,110.66	$5,325.53	$6,903.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,564.15 / $3,349.94 / $5,742.76	Professional		$2,564.15	$3,349.94	$5,742.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $5,608.16	Facility		$2,481.10	$2,481.10	$5,608.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $2,481.10 / $21,611.00	Professional		$1,811.20	$2,481.10	$21,611.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,155.88 / $3,155.88 / $3,155.88	Professional		$3,155.88	$3,155.88	$3,155.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.65 / $2,600.65 / $2,600.65	Facility		$2,600.65	$2,600.65	$2,600.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,968.04 / $2,749.17 / $3,280.06	Professional		$1,968.04	$2,749.17	$3,280.06