Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.70 / $151.91 / $1,400.00	Facility		$89.70	$151.91	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $151.91 / $265.63	Professional		$89.70	$151.91	$265.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.47 / $113.56 / $137.46	Facility		$93.47	$113.56	$137.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $291.62 / $343.07	Professional		$109.97	$291.62	$343.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.91 / $165.91 / $165.91	Facility		$165.91	$165.91	$165.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $160.93 / $373.57	Professional		$93.47	$160.93	$373.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,475.27 / $1,475.27 / $1,475.27	Facility		$1,475.27	$1,475.27	$1,475.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.61 / $215.17 / $224.73	Professional		$205.61	$215.17	$224.73
United Facility/Professional Professional Modifier Low / Median / High Price $125.22 / $191.52 / $336.15	Professional		$125.22	$191.52	$336.15