Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.58 / $2,304.37 / $4,608.74	Facility		$958.58	$2,304.37	$4,608.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $253.23 / $778.86	Professional		$98.82	$253.23	$778.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.62 / $117.10 / $127.58	Facility		$105.62	$117.10	$127.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $113.40 / $621.65	Professional		$113.40	$113.40	$621.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.35 / $169.35 / $169.35	Facility		$169.35	$169.35	$169.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $467.73 / $1,214.17	Professional		$103.84	$467.73	$1,214.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,053.58 / $2,373.91 / $4,802.34	Facility		$1,053.58	$2,373.91	$4,802.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $111.80 / $111.80	Professional		$111.80	$111.80	$111.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,305.76 / $3,305.76 / $3,305.76	Facility		$3,305.76	$3,305.76	$3,305.76
United Facility/Professional Professional Modifier Low / Median / High Price $450.09 / $660.70 / $1,107.84	Professional		$450.09	$660.70	$1,107.84