Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.18 / $661.76 / $1,738.06	Facility		$185.18	$661.76	$1,738.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.92 / $185.18 / $245.59	Professional		$116.92	$185.18	$245.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.27 / $145.52 / $158.54	Facility		$121.27	$145.52	$158.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.93 / $140.93 / $140.93	Professional		$140.93	$140.93	$140.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.59 / $212.59 / $212.59	Facility		$212.59	$212.59	$212.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $196.20 / $495.16	Professional		$119.10	$196.20	$495.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $928.00 / $1,169.72 / $2,415.35	Facility		$928.00	$1,169.72	$2,415.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.09 / $257.73 / $279.49	Professional		$250.09	$257.73	$279.49
United Facility/Professional Professional Modifier Low / Median / High Price $145.82 / $204.14 / $288.74	Professional		$145.82	$204.14	$288.74