Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $104.95 / $106.00	Facility		$104.95	$104.95	$106.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $106.00	Professional		$104.73	$104.73	$106.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $157.10 / $157.10	Facility		$104.73	$157.10	$157.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $104.73 / $105.92	Facility		$98.80	$104.73	$105.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $189.06	Professional		$104.73	$104.73	$189.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.50 / $100.50 / $100.50	Facility		$100.50	$100.50	$100.50
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $167.57	Professional		$104.73	$104.73	$167.57