Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.69 / $199.40 / $1,400.00	Facility		$75.69	$199.40	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $172.87 / $305.01	Professional		$72.40	$172.87	$305.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $106.80 / $147.02	Facility		$89.34	$106.80	$147.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $94.93 / $120.88	Professional		$94.93	$94.93	$120.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Facility		$143.26	$143.26	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.23 / $220.36 / $412.07	Professional		$89.23	$220.36	$412.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,015.57 / $3,474.14 / $14,284.00	Facility		$1,015.57	$3,474.14	$14,284.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.72 / $255.18 / $387.04	Professional		$157.72	$255.18	$387.04