Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.79 / $706.79 / $706.79	Facility		$706.79	$706.79	$706.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.79 / $706.79 / $934.08	Professional		$706.79	$706.79	$934.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $936.90 / $1,945.88 / $2,575.10	Facility		$936.90	$1,945.88	$2,575.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $936.90 / $1,008.97 / $1,729.67	Professional		$936.90	$1,008.97	$1,729.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.11 / $1,200.11 / $1,862.15	Facility		$1,200.11	$1,200.11	$1,862.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $1,200.11 / $7,804.83	Professional		$876.09	$1,200.11	$7,804.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,034.58 / $1,034.58 / $1,153.11	Professional		$1,034.58	$1,034.58	$1,153.11
United Facility/Professional Professional Modifier Low / Median / High Price $719.09 / $866.79 / $1,128.14	Professional		$719.09	$866.79	$1,128.14