Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.37 / $190.62 / $1,400.00	Facility		$130.37	$190.62	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $177.90 / $213.53	Professional		$123.90	$177.90	$213.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.88 / $154.02 / $167.81	Facility		$139.88	$154.02	$167.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $149.16 / $149.16	Professional		$149.16	$149.16	$149.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.31 / $224.31 / $224.31	Facility		$224.31	$224.31	$224.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $236.43 / $625.20	Professional		$149.16	$236.43	$625.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,784.58 / $10,784.58 / $10,784.58	Facility		$10,784.58	$10,784.58	$10,784.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.74 / $228.54 / $402.41	Professional		$143.74	$228.54	$402.41