Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,103.48 / $2,103.48 / $2,103.48	Facility		$2,103.48	$2,103.48	$2,103.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,103.48 / $2,103.48 / $2,262.41	Professional		$2,103.48	$2,103.48	$2,262.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,788.32 / $5,575.35 / $7,507.01	Facility		$2,788.32	$5,575.35	$7,507.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,788.32 / $3,002.80 / $4,955.87	Professional		$2,788.32	$3,002.80	$4,955.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $5,194.84	Facility		$2,550.04	$2,550.04	$5,194.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $2,550.04 / $21,773.15	Professional		$1,861.53	$2,550.04	$21,773.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,431.78 / $3,431.78 / $3,431.78	Professional		$3,431.78	$3,431.78	$3,431.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,625.10 / $4,625.10 / $4,625.10	Facility		$4,625.10	$4,625.10	$4,625.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,140.10 / $2,573.83 / $3,357.44	Professional		$2,140.10	$2,573.83	$3,357.44