Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $222.81 / $1,600.00	Facility		$162.22	$222.81	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.47 / $208.89 / $280.70	Professional		$153.47	$208.89	$280.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.23 / $194.77 / $212.21	Facility		$176.23	$194.77	$212.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $188.63 / $240.61	Professional		$130.44	$188.63	$240.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.58 / $282.58 / $282.58	Facility		$282.58	$282.58	$282.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.45 / $251.25 / $598.69	Professional		$168.45	$251.25	$598.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,198.37 / $2,198.37 / $12,606.48	Facility		$2,198.37	$2,198.37	$12,606.48
United Facility/Professional Professional Modifier Low / Median / High Price $174.88 / $247.43 / $364.85	Professional		$174.88	$247.43	$364.85