Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.21 / $3,578.58 / $3,578.58	Facility		$216.21	$3,578.58	$3,578.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $211.58 / $455.99	Professional		$115.62	$211.58	$455.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.86 / $146.41 / $159.53	Facility		$131.86	$146.41	$159.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $141.80 / $141.80	Professional		$141.80	$141.80	$141.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.43 / $211.43 / $211.43	Facility		$211.43	$211.43	$211.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.81 / $283.72 / $933.66	Professional		$141.81	$283.72	$933.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,049.91 / $3,636.31 / $4,052.72	Facility		$3,049.91	$3,636.31	$4,052.72
United Facility/Professional Professional Modifier Low / Median / High Price $161.35 / $568.74 / $1,198.79	Professional		$161.35	$568.74	$1,198.79