Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.30 / $1,200.00 / $4,701.26	Facility		$182.30	$1,200.00	$4,701.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $201.51 / $376.72	Professional		$153.69	$201.51	$376.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.89 / $207.47 / $226.03	Facility		$172.89	$207.47	$226.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.92 / $200.92 / $200.92	Professional		$200.92	$200.92	$200.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.31 / $302.31 / $302.31	Facility		$302.31	$302.31	$302.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.71 / $236.42 / $566.29	Professional		$168.71	$236.42	$566.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,466.11 / $2,466.11 / $2,466.11	Facility		$2,466.11	$2,466.11	$2,466.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $306.77 / $365.28	Professional		$306.77	$306.77	$365.28
United Facility/Professional Professional Modifier Low / Median / High Price $172.86 / $257.12 / $344.67	Professional		$172.86	$257.12	$344.67