Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $3,908.52 / $3,908.52	Facility		$172.00	$3,908.52	$3,908.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $160.69 / $261.02	Professional		$99.60	$160.69	$261.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.84 / $133.19 / $145.13	Facility		$119.84	$133.19	$145.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $129.00 / $214.58	Professional		$116.30	$129.00	$214.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.17 / $192.17 / $192.17	Facility		$192.17	$192.17	$192.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.63 / $206.35 / $472.99	Professional		$116.63	$206.35	$472.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,578.89 / $4,578.89 / $4,578.89	Facility		$4,578.89	$4,578.89	$4,578.89
United Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $196.51 / $302.27	Professional		$136.18	$196.51	$302.27