Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.25 / $114.47 / $1,400.00	Facility		$101.25	$114.47	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $109.39 / $176.38	Professional		$89.17	$109.39	$176.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.18 / $114.73 / $125.01	Facility		$105.18	$114.73	$125.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $111.12 / $140.01	Professional		$109.53	$111.12	$140.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.65 / $168.65 / $168.65	Facility		$168.65	$168.65	$168.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $135.60 / $470.87	Professional		$97.80	$135.60	$470.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.37 / $174.37 / $174.37	Professional		$174.37	$174.37	$174.37
United Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $124.29 / $280.54	Professional		$88.46	$124.29	$280.54