Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.02 / $222.10 / $1,400.00	Facility		$136.02	$222.10	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.02 / $214.18 / $264.39	Professional		$136.02	$214.18	$264.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.76 / $165.86 / $180.71	Facility		$149.76	$165.86	$180.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $160.63 / $160.63	Professional		$160.63	$160.63	$160.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.14 / $240.14 / $240.14	Facility		$240.14	$240.14	$240.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $299.04 / $656.39	Professional		$160.63	$299.04	$656.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,172.04 / $12,172.04 / $12,172.04	Facility		$12,172.04	$12,172.04	$12,172.04
United Facility/Professional Professional Modifier Low / Median / High Price $182.28 / $318.99 / $541.14	Professional		$182.28	$318.99	$541.14