Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.94 / $302.77 / $1,400.00	Facility		$179.94	$302.77	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.48 / $191.41 / $320.77	Professional		$172.48	$191.41	$320.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.42 / $234.49 / $255.47	Facility		$202.42	$234.49	$255.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $227.09 / $227.09	Professional		$116.50	$227.09	$227.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $217.92 / $217.92	Facility		$217.92	$217.92	$217.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.25 / $283.86 / $583.38	Professional		$181.25	$283.86	$583.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.02 / $422.02 / $422.02	Professional		$422.02	$422.02	$422.02
United Facility/Professional Professional Modifier Low / Median / High Price $155.90 / $222.72 / $339.75	Professional		$155.90	$222.72	$339.75