Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,884.03 / $3,890.45	Facility		$199.53	$2,884.03	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $331.13	Professional		$107.15	$177.83	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $186.21 / $239.88	Facility		$154.88	$186.21	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $436.52	Professional		$177.83	$363.08	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $1,318.26	Facility		$251.19	$251.19	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $1,122.02	Professional		$141.25	$194.98	$1,122.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $5,370.32	Facility		$1,584.89	$2,818.38	$5,370.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $323.59	Professional		$213.80	$302.00	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,995.26	Facility		$691.83	$691.83	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $263.03	Professional		$120.23	$177.83	$263.03