Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.10 / $876.10 / $876.10	Facility		$876.10	$876.10	$876.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.37 / $876.10 / $942.28	Professional		$868.37	$876.10	$942.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,196.30 / $2,411.98 / $3,126.64	Facility		$1,196.30	$2,411.98	$3,126.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,161.32 / $1,288.32 / $2,208.55	Professional		$1,161.32	$1,288.32	$2,208.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $2,156.78	Facility		$1,022.07	$1,022.07	$2,156.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $1,022.07 / $8,098.85	Professional		$868.76	$1,022.07	$8,098.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,128.37 / $3,128.37 / $3,128.37	Facility		$3,128.37	$3,128.37	$3,128.37
United Facility/Professional Professional Modifier Low / Median / High Price $891.34 / $1,227.99 / $1,485.57	Professional		$891.34	$1,227.99	$1,485.57