Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.91 / $676.40 / $1,400.00	Facility		$151.91	$676.40	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $359.81 / $867.16	Professional		$151.91	$359.81	$867.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.99 / $191.26 / $208.39	Facility		$171.99	$191.26	$208.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.23 / $185.23 / $185.23	Professional		$185.23	$185.23	$185.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.77 / $275.77 / $275.77	Facility		$275.77	$275.77	$275.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.23 / $706.24 / $1,932.02	Professional		$185.23	$706.24	$1,932.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,609.00 / $4,609.00 / $4,609.00	Facility		$4,609.00	$4,609.00	$4,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $538.74 / $881.56 / $1,473.90	Professional		$538.74	$881.56	$1,473.90