Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.25 / $290.00 / $1,200.00	Facility		$181.25	$290.00	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.25 / $204.57 / $283.11	Professional		$181.25	$204.57	$283.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.88 / $227.70 / $248.08	Facility		$206.88	$227.70	$248.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $217.50 / $220.51	Professional		$111.52	$217.50	$220.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.44 / $222.44 / $222.44	Facility		$222.44	$222.44	$222.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $244.09 / $512.96	Professional		$186.00	$244.09	$512.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.42 / $277.42 / $858.41	Facility		$277.42	$277.42	$858.41
United Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $226.25 / $370.56	Professional		$131.97	$226.25	$370.56