Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.39 / $244.83 / $1,400.00	Facility		$87.39	$244.83	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $117.45 / $294.81	Professional		$81.02	$117.45	$294.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.36 / $103.24 / $112.48	Facility		$92.36	$103.24	$112.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $99.98 / $250.45	Professional		$99.98	$99.98	$250.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.10 / $148.10 / $148.10	Facility		$148.10	$148.10	$148.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $185.86 / $376.63	Professional		$92.53	$185.86	$376.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,386.42 / $5,386.42 / $5,386.42	Facility		$5,386.42	$5,386.42	$5,386.42
United Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $141.26 / $238.14	Professional		$96.56	$141.26	$238.14