Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.40 / $2,080.40 / $5,540.36	Facility		$432.40	$2,080.40	$5,540.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.36 / $164.51 / $253.50	Professional		$86.36	$164.51	$253.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.76 / $114.47 / $124.71	Facility		$103.76	$114.47	$124.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $110.86 / $110.86	Professional		$110.86	$110.86	$110.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.37 / $166.37 / $166.37	Facility		$166.37	$166.37	$166.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.85 / $274.87 / $602.49	Professional		$110.85	$274.87	$602.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,603.52 / $5,372.39 / $7,263.24	Facility		$4,603.52	$5,372.39	$7,263.24
United Facility/Professional Professional Modifier Low / Median / High Price $182.52 / $302.13 / $449.96	Professional		$182.52	$302.13	$449.96