Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.58 / $369.66 / $1,134.40	Facility		$113.58	$369.66	$1,134.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $113.58 / $515.16	Professional		$112.45	$113.58	$515.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $114.48 / $168.68	Facility		$112.45	$114.48	$168.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.72 / $260.72 / $260.72	Professional		$260.72	$260.72	$260.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.09 / $112.45 / $367.84	Facility		$106.09	$112.45	$367.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $230.16	Professional		$112.45	$112.45	$230.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,577.15 / $1,577.15 / $1,577.15	Facility		$1,577.15	$1,577.15	$1,577.15
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $432.75	Professional		$112.45	$112.45	$432.75