Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,778.28 / $1,778.28	Facility		$177.83	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $380.19 / $870.96	Professional		$162.18	$380.19	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $239.88 / $302.00	Facility		$194.98	$239.88	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $741.31 / $891.25	Professional		$363.08	$741.31	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $316.23 / $316.23	Facility		$34.67	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $389.05 / $1,995.26	Professional		$177.83	$389.05	$1,995.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $602.56	Professional		$501.19	$562.34	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $524.81	Professional		$165.96	$302.00	$524.81