Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.09 / $201.59 / $1,600.00	Facility		$132.09	$201.59	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $181.39 / $224.96	Professional		$118.97	$181.39	$224.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.50 / $180.32 / $196.47	Facility		$156.50	$180.32	$196.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $174.64 / $174.64	Professional		$174.64	$174.64	$174.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.94 / $250.94 / $250.94	Facility		$250.94	$250.94	$250.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $242.99 / $692.25	Professional		$162.38	$242.99	$692.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,913.55 / $6,913.55 / $6,913.55	Facility		$6,913.55	$6,913.55	$6,913.55
United Facility/Professional Professional Modifier Low / Median / High Price $158.75 / $289.73 / $374.39	Professional		$158.75	$289.73	$374.39