Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $181.97 / $181.97	Facility		$100.00	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $141.25	Professional		$85.11	$100.00	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $239.88 / $363.08	Facility		$102.33	$239.88	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $588.84 / $588.84	Professional		$58.88	$588.84	$588.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $151.36	Professional		$54.95	$63.10	$151.36