Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $122.37 / $1,400.00	Facility		$122.37	$122.37	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $129.96 / $222.83	Professional		$118.14	$129.96	$222.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.48 / $142.18 / $177.72	Facility		$118.48	$142.18	$177.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $177.72 / $274.70	Professional		$118.48	$177.72	$274.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $140.24 / $140.24	Facility		$140.24	$140.24	$140.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $177.72 / $365.28	Professional		$119.23	$177.72	$365.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,623.56 / $4,623.56 / $8,211.08	Facility		$4,623.56	$4,623.56	$8,211.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,910.00 / $2,910.00 / $2,910.00	Facility		$2,910.00	$2,910.00	$2,910.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $139.49 / $202.70	Professional		$101.30	$139.49	$202.70