Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.56 / $230.58 / $1,400.00	Facility		$156.56	$230.58	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.21 / $218.53 / $274.23	Professional		$147.21	$218.53	$274.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.35 / $194.82 / $212.26	Facility		$162.35	$194.82	$212.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.68 / $188.68 / $188.68	Professional		$188.68	$188.68	$188.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.45 / $284.45 / $284.45	Facility		$284.45	$284.45	$284.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.22 / $246.28 / $640.47	Professional		$159.22	$246.28	$640.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.26 / $1,549.26 / $2,142.98	Facility		$1,549.26	$1,549.26	$2,142.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.22 / $348.33 / $363.50	Professional		$340.22	$348.33	$363.50
United Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $268.33 / $396.10	Professional		$192.38	$268.33	$396.10