Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.42 / $93.41 / $1,400.00	Facility		$51.42	$93.41	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $88.95 / $118.32	Professional		$51.42	$88.95	$118.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.47 / $55.41 / $65.98	Facility		$50.47	$55.41	$65.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $58.66 / $94.48	Professional		$51.18	$58.66	$94.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.70 / $104.78 / $247.89	Professional		$55.70	$104.78	$247.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,809.21 / $2,828.22 / $4,625.35	Facility		$1,809.21	$2,828.22	$4,625.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $74.93 / $74.93	Professional		$74.93	$74.93	$74.93
United Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $115.59 / $174.84	Professional		$77.22	$115.59	$174.84