Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $164.00 / $1,400.00	Facility		$109.28	$164.00	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $164.00 / $270.74	Professional		$109.28	$164.00	$270.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.06 / $136.87 / $149.12	Facility		$114.06	$136.87	$149.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.55 / $132.55 / $132.55	Professional		$132.55	$132.55	$132.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.21 / $200.21 / $200.21	Facility		$200.21	$200.21	$200.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $175.26 / $445.49	Professional		$111.42	$175.26	$445.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.12 / $242.12 / $242.12	Professional		$242.12	$242.12	$242.12
United Facility/Professional Professional Modifier Low / Median / High Price $134.31 / $210.00 / $269.18	Professional		$134.31	$210.00	$269.18