Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.89 / $1,615.32 / $1,615.32	Facility		$169.89	$1,615.32	$1,615.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $117.77 / $197.15	Professional		$94.33	$117.77	$197.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.87 / $143.34 / $197.35	Facility		$116.87	$143.34	$197.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $127.42 / $127.42	Professional		$75.08	$127.42	$127.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.40 / $187.40 / $187.40	Facility		$187.40	$187.40	$187.40
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $149.91 / $149.91 / $149.91	Facility	52	$149.91	$149.91	$149.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $163.31 / $325.27	Professional		$109.56	$163.31	$325.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.91 / $326.91 / $326.91	Facility		$326.91	$326.91	$326.91
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $664.42 / $664.42 / $664.42	Facility	52	$664.42	$664.42	$664.42
United Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $139.90 / $195.31	Professional		$90.97	$139.90	$195.31