Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $151.36	Professional		$74.13	$100.00	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $70.79 / $114.82	Facility		$27.54	$70.79	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $776.25	Facility		$151.36	$151.36	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $478.63	Professional		$77.62	$131.83	$478.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $218.78	Professional		$74.13	$117.49	$218.78