Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.69 / $4,418.00 / $12,684.36	Facility		$145.69	$4,418.00	$12,684.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $299.97 / $334.28	Professional		$142.41	$299.97	$334.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.80 / $178.48 / $194.45	Facility		$160.80	$178.48	$194.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.85 / $172.85 / $172.85	Professional		$172.85	$172.85	$172.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.83 / $257.83 / $257.83	Facility		$257.83	$257.83	$257.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.85 / $355.44 / $738.88	Professional		$172.85	$355.44	$738.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,620.56 / $7,202.11 / $14,801.96	Facility		$3,620.56	$7,202.11	$14,801.96
United Facility/Professional Professional Modifier Low / Median / High Price $241.60 / $366.95 / $598.85	Professional		$241.60	$366.95	$598.85