Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $4,265.80 / $5,495.41	Facility		$467.74	$4,265.80	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $269.15 / $812.83	Professional		$114.82	$269.15	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $147.91	Facility		$123.03	$123.03	$147.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	52	$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $354.81 / $2,238.72	Professional		$120.23	$354.81	$2,238.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $3,311.31	Facility		$1,230.27	$1,230.27	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $602.56	Professional		$97.72	$208.93	$602.56