Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.81 / $641.08 / $4,497.92	Facility		$305.81	$641.08	$4,497.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $114.25 / $214.56	Professional		$76.06	$114.25	$214.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.51 / $89.41 / $116.46	Facility		$74.51	$89.41	$116.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.29 / $262.62 / $392.63	Professional		$164.29	$262.62	$392.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.93 / $133.93 / $133.93	Facility		$133.93	$133.93	$133.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.68 / $180.96 / $390.00	Professional		$86.68	$180.96	$390.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.70 / $1,688.23 / $3,291.96	Facility		$615.70	$1,688.23	$3,291.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $101.36 / $146.44	Professional		$96.53	$101.36	$146.44
United Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $183.73 / $286.68	Professional		$127.25	$183.73	$286.68