Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.74 / $517.67 / $1,400.00	Facility		$328.74	$517.67	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.74 / $368.74 / $551.54	Professional		$328.74	$368.74	$551.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $362.66 / $400.91 / $436.79	Facility		$362.66	$400.91	$436.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.85 / $388.26 / $388.26	Professional		$219.85	$388.26	$388.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.51 / $581.51 / $581.51	Facility		$581.51	$581.51	$581.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.80 / $485.33 / $1,000.47	Professional		$340.80	$485.33	$1,000.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,726.90 / $6,726.90 / $6,726.90	Facility		$6,726.90	$6,726.90	$6,726.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.16 / $787.16 / $787.16	Professional		$787.16	$787.16	$787.16
United Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.81 / $430.22 / $593.95	Professional		$286.81	$430.22	$593.95