Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,695.55 / $1,695.55 / $1,695.55	Facility		$1,695.55	$1,695.55	$1,695.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,695.55 / $1,695.55 / $1,823.65	Professional		$1,695.55	$1,695.55	$1,823.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,247.57 / $4,642.54 / $6,051.15	Facility		$2,247.57	$4,642.54	$6,051.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,247.57 / $2,420.46 / $4,126.70	Professional		$2,247.57	$2,420.46	$4,126.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $4,196.47	Facility		$2,400.00	$2,400.00	$4,196.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $2,400.00 / $17,588.66	Professional		$1,752.00	$2,400.00	$17,588.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,197.54 / $2,701.41 / $2,701.41	Professional		$2,197.54	$2,701.41	$2,701.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,639.81 / $2,290.66 / $2,772.49	Professional		$1,639.81	$2,290.66	$2,772.49