Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,808.10 / $4,808.10 / $4,808.10	Facility		$4,808.10	$4,808.10	$4,808.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.45 / $368.37 / $400.42	Professional		$367.45	$368.37	$400.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $488.31 / $1,099.24 / $1,352.23	Facility		$488.31	$1,099.24	$1,352.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $488.31 / $525.87 / $899.39	Professional		$488.31	$525.87	$899.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.06 / $666.06 / $878.30	Facility		$666.06	$666.06	$878.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.15 / $666.06 / $3,669.76	Professional		$566.15	$666.06	$3,669.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,958.77 / $1,958.77 / $1,958.77	Facility		$1,958.77	$1,958.77	$1,958.77
United Facility/Professional Professional Modifier Low / Median / High Price $374.78 / $537.67 / $702.74	Professional		$374.78	$537.67	$702.74