Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.17 / $1,400.00 / $7,238.94	Facility		$168.17	$1,400.00	$7,238.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $203.00 / $275.77	Professional		$153.91	$203.00	$275.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $210.48 / $229.32	Facility		$175.40	$210.48	$229.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.84 / $203.84 / $203.84	Professional		$203.84	$203.84	$203.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.91 / $301.91 / $301.91	Facility		$301.91	$301.91	$301.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $286.49 / $638.82	Professional		$182.29	$286.49	$638.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.90 / $230.90 / $230.90	Professional		$230.90	$230.90	$230.90
United Facility/Professional Professional Modifier Low / Median / High Price $195.64 / $291.01 / $368.90	Professional		$195.64	$291.01	$368.90