Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.29 / $161.19 / $1,400.00	Facility		$131.29	$161.19	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $142.55 / $230.16	Professional		$114.96	$142.55	$230.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.54 / $149.02 / $162.35	Facility		$136.54	$149.02	$162.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.31 / $154.82 / $197.37	Professional		$144.31	$154.82	$197.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.94 / $218.94 / $218.94	Facility		$218.94	$218.94	$218.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.66 / $191.14 / $611.17	Professional		$125.66	$191.14	$611.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,027.20 / $2,027.20 / $2,027.20	Facility		$2,027.20	$2,027.20	$2,027.20
United Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $179.71 / $379.95	Professional		$120.33	$179.71	$379.95