Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.09 / $151.37 / $1,400.00	Facility		$112.09	$151.37	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $147.01 / $248.96	Professional		$106.99	$147.01	$248.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.39 / $135.61 / $147.76	Facility		$123.39	$135.61	$147.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $131.34 / $161.37	Professional		$87.43	$131.34	$161.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $197.86 / $197.86	Facility		$197.86	$197.86	$197.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.18 / $173.24 / $413.70	Professional		$117.18	$173.24	$413.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,613.29 / $3,613.29 / $3,613.29	Facility		$3,613.29	$3,613.29	$3,613.29
United Facility/Professional Facility Modifier Low / Median / High Price $690.00 / $690.00 / $690.00	Facility		$690.00	$690.00	$690.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.18 / $169.98 / $254.98	Professional		$119.18	$169.98	$254.98