Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,720.49 / $1,720.49 / $1,720.49	Facility		$1,720.49	$1,720.49	$1,720.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,720.49 / $1,720.49 / $2,196.48	Professional		$1,720.49	$1,720.49	$2,196.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,280.62 / $4,575.70 / $6,140.14	Facility		$2,280.62	$4,575.70	$6,140.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,280.62 / $2,456.06 / $4,067.29	Professional		$2,280.62	$2,456.06	$4,067.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $2,117.90 / $4,362.64	Facility		$2,117.90	$2,117.90	$4,362.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $1,546.07 / $18,285.15	Professional		$1,546.07	$1,546.07	$18,285.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,456.06 / $2,456.06 / $2,806.92	Professional		$2,456.06	$2,456.06	$2,806.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.91 / $2,362.09 / $2,917.39	Professional		$1,713.91	$2,362.09	$2,917.39