Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $331.13 / $524.81	Facility		$112.20	$331.13	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $302.00	Professional		$112.20	$186.21	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $147.91	Facility		$125.89	$125.89	$147.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $199.53 / $199.53	Facility		$34.67	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $954.99	Professional		$117.49	$204.17	$954.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $4,570.88	Facility		$1,584.89	$1,584.89	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,995.26	Facility		$691.83	$691.83	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $302.00	Professional		$97.72	$162.18	$302.00