Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.29 / $197.81 / $1,600.00	Facility		$123.29	$197.81	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $188.66 / $229.58	Professional		$119.29	$188.66	$229.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.22 / $145.40 / $158.41	Facility		$133.22	$145.40	$158.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.81 / $140.81 / $140.81	Professional		$140.81	$140.81	$140.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $213.62 / $213.62	Facility		$213.62	$213.62	$213.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.81 / $244.12 / $609.59	Professional		$140.81	$244.12	$609.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,002.47 / $3,002.47 / $3,002.47	Facility		$3,002.47	$3,002.47	$3,002.47
United Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $208.23 / $336.60	Professional		$151.44	$208.23	$336.60