Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.49 / $351.70 / $1,400.00	Facility		$164.49	$351.70	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.71 / $326.79 / $591.26	Professional		$162.71	$326.79	$591.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.97 / $202.58 / $220.73	Facility		$183.97	$202.58	$220.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.20 / $196.20 / $196.20	Professional		$196.20	$196.20	$196.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.99 / $294.99 / $294.99	Facility		$294.99	$294.99	$294.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.60 / $378.26 / $812.31	Professional		$164.60	$378.26	$812.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,419.88 / $1,419.88 / $1,419.88	Facility		$1,419.88	$1,419.88	$1,419.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.57 / $530.17 / $542.46	Professional		$474.57	$530.17	$542.46
United Facility/Professional Professional Modifier Low / Median / High Price $292.02 / $446.88 / $615.67	Professional		$292.02	$446.88	$615.67