Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $316.23 / $4,073.80	Facility		$165.96	$316.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $354.81	Professional		$165.96	$229.09	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $213.80	Facility		$177.83	$177.83	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $1,318.26	Facility		$288.40	$288.40	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $2,754.23	Professional		$165.96	$257.04	$2,754.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $5,888.44	Facility		$3,090.30	$3,090.30	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $4,570.88	Facility		$1,230.27	$1,230.27	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $363.08	Professional		$141.25	$213.80	$363.08