Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,099.59 / $2,099.59 / $2,099.59	Facility		$2,099.59	$2,099.59	$2,099.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,081.08 / $2,099.59 / $2,258.21	Professional		$2,081.08	$2,099.59	$2,258.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,866.96 / $5,780.38 / $7,493.08	Facility		$2,866.96	$5,780.38	$7,493.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,783.14 / $3,087.49 / $5,292.84	Professional		$2,783.14	$3,087.49	$5,292.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $2,448.80 / $5,168.78	Facility		$2,448.80	$2,448.80	$5,168.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $2,448.80 / $21,117.48	Professional		$1,787.62	$2,448.80	$21,117.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,721.19 / $2,721.19 / $2,997.23	Professional		$2,721.19	$2,721.19	$2,997.23
United Facility/Professional Professional Modifier Low / Median / High Price $2,136.13 / $2,731.13 / $3,433.14	Professional		$2,136.13	$2,731.13	$3,433.14