Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,618.75 / $3,639.68 / $3,805.12	Facility		$1,618.75	$3,639.68	$3,805.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.53 / $31.74	Professional		$30.23	$30.53	$31.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $45.35	Facility		$30.23	$30.23	$45.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $70.08	Professional		$30.23	$30.23	$70.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $85.00 / $85.00	Facility		$28.52	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Professional		$30.23	$30.23	$30.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $47.21 / $73.64	Facility		$47.21	$47.21	$73.64
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $54.10	Professional		$30.23	$30.23	$54.10