Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,414.82 / $1,414.82 / $1,414.82	Facility		$1,414.82	$1,414.82	$1,414.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,414.82 / $1,414.82 / $1,617.77	Professional		$1,414.82	$1,414.82	$1,617.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,875.45 / $3,895.16 / $5,193.54	Facility		$1,875.45	$3,895.16	$5,193.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,875.45 / $2,019.71 / $3,462.36	Professional		$1,875.45	$2,019.71	$3,462.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.62 / $2,289.62 / $3,837.70	Facility		$2,289.62	$2,289.62	$3,837.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,671.42 / $16,084.97	Professional		$1,671.42	$1,671.42	$16,084.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,833.70 / $1,833.70 / $1,833.70	Professional		$1,833.70	$1,833.70	$1,833.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,439.45 / $1,734.66 / $2,409.85	Professional		$1,439.45	$1,734.66	$2,409.85