Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.15 / $148.53 / $1,400.00	Facility		$68.15	$148.53	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $109.01 / $157.26	Professional		$68.15	$109.01	$157.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.03 / $84.42 / $91.98	Facility		$76.03	$84.42	$91.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $81.76 / $81.76	Professional		$81.76	$81.76	$81.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.92 / $121.92 / $121.92	Facility		$121.92	$121.92	$121.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $170.76 / $333.64	Professional		$81.76	$170.76	$333.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,618.16 / $10,618.16 / $10,618.16	Facility		$10,618.16	$10,618.16	$10,618.16
United Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $155.66 / $273.49	Professional		$105.74	$155.66	$273.49