Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.35 / $199.00 / $1,400.00	Facility		$85.35	$199.00	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.55 / $137.29 / $237.34	Professional		$76.55	$137.29	$237.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.72 / $102.06 / $111.19	Facility		$89.72	$102.06	$111.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.83 / $98.83 / $204.07	Professional		$98.83	$98.83	$204.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $143.87 / $143.87	Facility		$143.87	$143.87	$143.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $191.79 / $408.39	Professional		$81.51	$191.79	$408.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,792.38 / $2,792.38 / $2,792.38	Facility		$2,792.38	$2,792.38	$2,792.38
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 $124.36 / $173.59 / $289.37	Professional		$124.36	$173.59	$289.37