Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.10 / $327.12 / $1,200.00	Facility		$104.10	$327.12	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $118.94 / $208.73	Professional		$62.07	$118.94	$208.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.67 / $75.56 / $91.49	Facility		$61.67	$75.56	$91.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $182.83 / $215.09	Professional		$73.19	$182.83	$215.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.46 / $107.46 / $107.46	Facility		$107.46	$107.46	$107.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $10.75 / $10.75 / $10.75	Facility	AS	$10.75	$10.75	$10.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.85 / $112.73 / $303.08	Professional		$63.85	$112.73	$303.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.16 / $291.39 / $580.40	Facility		$104.16	$291.39	$580.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.61 / $137.91 / $141.87	Professional		$136.61	$137.91	$141.87
United Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $130.69 / $215.28	Professional		$80.42	$130.69	$215.28