Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.03 / $203.70 / $1,400.00	Facility		$117.03	$203.70	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $200.96 / $267.52	Professional		$115.81	$200.96	$267.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.60 / $127.19 / $151.13	Facility		$115.60	$127.19	$151.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.34 / $134.34 / $134.34	Professional		$134.34	$134.34	$134.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.95 / $203.95 / $203.95	Facility		$203.95	$203.95	$203.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.34 / $225.69 / $578.45	Professional		$134.34	$225.69	$578.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,234.80 / $3,234.80 / $21,533.72	Facility		$3,234.80	$3,234.80	$21,533.72
United Facility/Professional Professional Modifier Low / Median / High Price $150.05 / $212.85 / $339.28	Professional		$150.05	$212.85	$339.28