Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.93 / $308.77 / $1,600.00	Facility		$166.93	$308.77	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.81 / $229.51 / $376.75	Professional		$156.81	$229.51	$376.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.57 / $197.69 / $215.39	Facility		$176.57	$197.69	$215.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.65 / $191.46 / $322.14	Professional		$174.65	$191.46	$322.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.12 / $283.12 / $283.12	Facility		$283.12	$283.12	$283.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.42 / $309.55 / $701.08	Professional		$167.42	$309.55	$701.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,500.79 / $2,500.79 / $2,500.79	Facility		$2,500.79	$2,500.79	$2,500.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.33 / $294.14 / $453.79	Professional		$206.33	$294.14	$453.79