Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.76 / $151.01 / $1,200.00	Facility		$91.76	$151.01	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.76 / $146.44 / $273.83	Professional		$91.76	$146.44	$273.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $127.41 / $175.41	Facility		$104.90	$127.41	$175.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $113.26 / $113.26	Professional		$89.02	$113.26	$113.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.21 / $168.21 / $168.21	Facility		$168.21	$168.21	$168.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.47 / $173.48 / $450.97	Professional		$107.47	$173.48	$450.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,475.82 / $1,475.82 / $4,038.42	Facility		$1,475.82	$1,475.82	$4,038.42
United Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $207.33 / $291.95	Professional		$125.01	$207.33	$291.95