Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $3,890.45 / $3,890.45	Facility		$112.20	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $371.54	Professional		$109.65	$199.53	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $144.54	Facility		$120.23	$120.23	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $190.55 / $190.55	Facility		$34.67	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $660.69	Professional		$112.20	$208.93	$660.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility		$18,197.01	$18,197.01	$18,197.01
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 $93.33 / $158.49 / $263.03	Professional		$93.33	$158.49	$263.03