Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $216.61 / $1,400.00	Facility		$142.63	$216.61	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $185.41 / $289.98	Professional		$128.15	$185.41	$289.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $163.66 / $178.31	Facility		$150.57	$163.66	$178.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.50 / $202.16 / $255.14	Professional		$158.50	$202.16	$255.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.44 / $241.44 / $241.44	Facility		$241.44	$241.44	$241.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $210.53 / $681.31	Professional		$135.38	$210.53	$681.31
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $454.76 / $454.76 / $454.76	Professional	50	$454.76	$454.76	$454.76
United Facility/Professional Professional Modifier Low / Median / High Price $155.69 / $218.63 / $322.72	Professional		$155.69	$218.63	$322.72