Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.52 / $392.99 / $1,400.00	Facility		$237.52	$392.99	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $257.91 / $436.09	Professional		$237.52	$257.91	$436.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.77 / $304.33 / $331.59	Facility		$275.77	$304.33	$331.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.35 / $294.74 / $294.74	Professional		$151.35	$294.74	$294.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.24 / $293.24 / $293.24	Facility		$293.24	$293.24	$293.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.26 / $424.25 / $1,250.46	Professional		$252.26	$424.25	$1,250.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,747.00 / $3,747.00 / $3,747.00	Facility		$3,747.00	$3,747.00	$3,747.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.58 / $458.91 / $1,010.46	Professional		$214.58	$458.91	$1,010.46