Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.03 / $229.15 / $4,394.42	Facility		$109.03	$229.15	$4,394.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.03 / $229.15 / $272.58	Professional		$109.03	$229.15	$272.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.64 / $138.59 / $201.37	Facility		$125.64	$138.59	$201.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $134.22 / $134.22	Professional		$134.22	$134.22	$134.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.40 / $308.27 / $634.78	Professional		$133.40	$308.27	$634.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,855.52 / $1,855.52 / $1,855.52	Facility		$1,855.52	$1,855.52	$1,855.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.98 / $204.98 / $205.05	Professional		$204.98	$204.98	$205.05
United Facility/Professional Professional Modifier Low / Median / High Price $193.95 / $339.42 / $584.46	Professional		$193.95	$339.42	$584.46