Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.66 / $7,470.00 / $21,495.99	Facility		$173.66	$7,470.00	$21,495.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $173.93 / $173.94	Professional		$172.22	$173.93	$173.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $258.33 / $258.33	Facility		$172.22	$258.33	$258.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $169.26 / $172.22	Facility		$162.47	$169.26	$172.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $297.12	Professional		$172.22	$172.22	$297.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.67 / $292.98 / $610.48	Facility		$175.67	$292.98	$610.48
United Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $265.51	Professional		$172.22	$172.22	$265.51