Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $14,454.40 / $17,782.79	Facility		$123.03	$14,454.40	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $141.25	Professional		$123.03	$123.03	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $134.90 / $134.90	Facility		$89.13	$134.90	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $123.03 / $549.54	Facility		$114.82	$123.03	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $380.19 / $380.19	Professional		$123.03	$380.19	$380.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $1,148.15	Facility		$269.15	$269.15	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $549.54	Professional		$123.03	$128.82	$549.54