Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.65 / $185.78 / $1,600.00	Facility		$114.65	$185.78	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $185.78 / $254.77	Professional		$114.65	$185.78	$254.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.86 / $152.36 / $186.22	Facility		$112.86	$152.36	$186.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.43 / $409.06 / $419.75	Professional		$135.43	$409.06	$419.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.73 / $202.73 / $202.73	Facility		$202.73	$202.73	$202.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.43 / $247.00 / $562.83	Professional		$135.43	$247.00	$562.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,004.53 / $1,004.53 / $1,004.53	Facility		$1,004.53	$1,004.53	$1,004.53
United Facility/Professional Professional Modifier Low / Median / High Price $145.78 / $255.12 / $378.70	Professional		$145.78	$255.12	$378.70