Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $223.12 / $1,400.00	Facility		$88.20	$223.12	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $134.56 / $397.43	Professional		$86.04	$134.56	$397.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.56 / $104.21 / $113.54	Facility		$93.56	$104.21	$113.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $100.92 / $100.92	Professional		$100.92	$100.92	$100.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.02 / $150.02 / $150.02	Facility		$150.02	$150.02	$150.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $253.15 / $801.53	Professional		$100.92	$253.15	$801.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,344.40 / $1,344.40 / $2,980.09	Facility		$1,344.40	$1,344.40	$2,980.09
United Facility/Professional Professional Modifier Low / Median / High Price $166.28 / $488.26 / $1,114.53	Professional		$166.28	$488.26	$1,114.53