Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.00 / $3,875.15 / $6,870.70	Facility		$784.00	$3,875.15	$6,870.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $103.59 / $157.51	Professional		$58.64	$103.59	$157.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $80.00 / $110.01	Facility		$66.67	$80.00	$110.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $191.89 / $278.06	Professional		$119.31	$191.89	$278.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.82 / $119.82 / $119.82	Facility		$119.82	$119.82	$119.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $136.51 / $319.14	Professional		$70.31	$136.51	$319.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,027.86 / $2,625.32 / $5,165.60	Facility		$2,027.86	$2,625.32	$5,165.60
United Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $150.85 / $248.90	Professional		$86.49	$150.85	$248.90