Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.22 / $158.58 / $1,400.00	Facility		$125.22	$158.58	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.22 / $182.88 / $258.30	Professional		$125.22	$182.88	$258.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.88 / $143.29 / $156.13	Facility		$131.88	$143.29	$156.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $150.55 / $190.79	Professional		$138.78	$150.55	$190.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.47 / $211.47 / $211.47	Facility		$211.47	$211.47	$211.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $218.06 / $597.15	Professional		$144.16	$218.06	$597.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.17 / $240.17 / $240.17	Professional		$240.17	$240.17	$240.17
United Facility/Professional Professional Modifier Low / Median / High Price $119.18 / $195.04 / $340.76	Professional		$119.18	$195.04	$340.76