Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.43 / $167.38 / $1,400.00	Facility		$141.43	$167.38	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $151.18 / $175.89	Professional		$131.88	$151.18	$175.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.97 / $178.52 / $194.51	Facility		$161.97	$178.52	$194.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.90 / $172.90 / $172.90	Professional		$172.90	$172.90	$172.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.72 / $259.72 / $259.72	Facility		$259.72	$259.72	$259.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $217.29 / $729.65	Professional		$151.61	$217.29	$729.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,812.12 / $3,812.12 / $3,812.12	Facility		$3,812.12	$3,812.12	$3,812.12
United Facility/Professional Professional Modifier Low / Median / High Price $128.28 / $205.78 / $288.58	Professional		$128.28	$205.78	$288.58