Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.59 / $469.59 / $469.59	Facility		$469.59	$469.59	$469.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.59 / $469.59 / $518.39	Professional		$469.59	$469.59	$518.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $622.48 / $1,293.64 / $1,723.79	Facility		$622.48	$1,293.64	$1,723.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $622.48 / $670.36 / $1,149.19	Professional		$622.48	$670.36	$1,149.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $694.09 / $1,200.45	Facility		$694.09	$694.09	$1,200.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $694.09 / $5,031.45	Professional		$506.69	$694.09	$5,031.45
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.63 / $748.18 / $766.13	Professional		$608.63	$748.18	$766.13
United Facility/Professional Professional Modifier Low / Median / High Price $477.77 / $631.34 / $796.28	Professional		$477.77	$631.34	$796.28