Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.84 / $1,114.84 / $1,114.84	Facility		$1,114.84	$1,114.84	$1,114.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,114.84 / $1,114.84 / $1,204.30	Professional		$1,114.84	$1,114.84	$1,204.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,477.81 / $2,932.73 / $3,978.71	Facility		$1,477.81	$2,932.73	$3,978.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,477.81 / $1,591.49 / $2,606.87	Professional		$1,477.81	$1,591.49	$2,606.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $2,845.73	Facility		$1,599.98	$1,599.98	$2,845.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,599.98 / $11,927.33	Professional		$1,167.99	$1,599.98	$11,927.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,444.92 / $1,444.92 / $1,535.22	Professional		$1,444.92	$1,444.92	$1,535.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.25 / $1,513.95 / $1,890.42	Professional		$1,134.25	$1,513.95	$1,890.42