Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.43 / $149.52 / $1,400.00	Facility		$84.43	$149.52	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $120.69 / $218.80	Professional		$63.99	$120.69	$218.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $106.07 / $115.56	Facility		$97.50	$106.07	$115.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $102.72 / $102.72	Professional		$102.72	$102.72	$102.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.34 / $156.34 / $156.34	Facility		$156.34	$156.34	$156.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $169.21 / $414.76	Professional		$89.61	$169.21	$414.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,123.42 / $1,123.42 / $1,123.42	Facility		$1,123.42	$1,123.42	$1,123.42
United Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $149.51 / $218.43	Professional		$94.57	$149.51	$218.43