Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.85 / $1,694.70 / $5,761.26	Facility		$216.85	$1,694.70	$5,761.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $187.61 / $331.36	Professional		$109.01	$187.61	$331.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.22 / $182.48 / $220.91	Facility		$150.22	$182.48	$220.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.72 / $419.35 / $493.37	Professional		$176.72	$419.35	$493.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.81 / $261.81 / $261.81	Facility		$261.81	$261.81	$261.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.27 / $230.21 / $584.16	Professional		$147.27	$230.21	$584.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,241.00 / $4,318.20 / $11,576.11	Facility		$1,241.00	$4,318.20	$11,576.11
United Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.17 / $277.24 / $406.77	Professional		$180.17	$277.24	$406.77