Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.06 / $150.11 / $1,400.00	Facility		$104.06	$150.11	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $119.01 / $192.01	Professional		$92.20	$119.01	$192.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.82 / $131.74 / $143.52	Facility		$119.82	$131.74	$143.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.57 / $127.57 / $127.57	Professional		$127.57	$127.57	$127.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.13 / $192.13 / $192.13	Facility		$192.13	$192.13	$192.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.92 / $171.76 / $544.13	Professional		$125.92	$171.76	$544.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,403.75 / $6,403.75 / $6,403.75	Facility		$6,403.75	$6,403.75	$6,403.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,450.00	Facility		$2,450.00	$2,450.00	$2,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.39 / $148.41 / $237.02	Professional		$103.39	$148.41	$237.02