Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.19 / $236.92 / $1,600.00	Facility		$155.19	$236.92	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $236.74 / $278.64	Professional		$152.55	$236.74	$278.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.11 / $188.09 / $204.93	Facility		$169.11	$188.09	$204.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.16 / $182.16 / $182.16	Professional		$182.16	$182.16	$182.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.16 / $271.16 / $271.16	Facility		$271.16	$271.16	$271.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.16 / $300.01 / $749.94	Professional		$182.16	$300.01	$749.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,797.15 / $3,797.15 / $6,931.88	Facility		$3,797.15	$3,797.15	$6,931.88
United Facility/Professional Professional Modifier Low / Median / High Price $191.94 / $263.91 / $403.68	Professional		$191.94	$263.91	$403.68