Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.06 / $205.63 / $1,600.00	Facility		$130.06	$205.63	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.68 / $189.97 / $253.18	Professional		$125.68	$189.97	$253.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.29 / $141.47 / $169.03	Facility		$129.29	$141.47	$169.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.29 / $150.25 / $218.23	Professional		$118.29	$150.25	$218.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.85 / $226.85 / $226.85	Facility		$226.85	$226.85	$226.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.83 / $227.20 / $559.66	Professional		$142.83	$227.20	$559.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,099.17 / $1,099.17 / $1,099.17	Facility		$1,099.17	$1,099.17	$1,099.17
United Facility/Professional Facility Modifier Low / Median / High Price $9,092.48 / $9,092.48 / $9,092.48	Facility		$9,092.48	$9,092.48	$9,092.48
United Facility/Professional Professional Modifier Low / Median / High Price $160.21 / $221.88 / $346.55	Professional		$160.21	$221.88	$346.55