Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.28 / $180.38 / $1,400.00	Facility		$113.28	$180.38	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $171.70 / $207.47	Professional		$105.34	$171.70	$207.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.05 / $140.46 / $153.04	Facility		$117.05	$140.46	$153.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.03 / $136.03 / $136.03	Professional		$136.03	$136.03	$136.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.99 / $204.99 / $204.99	Facility		$204.99	$204.99	$204.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $190.75 / $475.09	Professional		$115.22	$190.75	$475.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $1,028.00 / $1,028.00	Facility		$1,028.00	$1,028.00	$1,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $220.01 / $281.39	Professional		$147.90	$220.01	$281.39