Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $677.03 / $1,600.00	Facility		$166.52	$677.03	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.52 / $374.09 / $782.50	Professional		$166.52	$374.09	$782.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.83 / $207.13 / $225.67	Facility		$185.83	$207.13	$225.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.59 / $200.59 / $200.59	Professional		$200.59	$200.59	$200.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.97 / $297.97 / $297.97	Facility		$297.97	$297.97	$297.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.60 / $690.79 / $1,713.23	Professional		$200.60	$690.79	$1,713.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,271.19 / $2,271.19 / $2,271.19	Facility		$2,271.19	$2,271.19	$2,271.19
United Facility/Professional Professional Modifier Low / Median / High Price $500.60 / $767.58 / $1,482.51	Professional		$500.60	$767.58	$1,482.51