Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $99.60 / $99.60	Facility		$99.60	$99.60	$99.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $95.43 / $115.20	Professional		$92.85	$95.43	$115.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.32 / $260.27 / $337.40	Facility		$125.32	$260.27	$337.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.32 / $134.96 / $231.36	Professional		$125.32	$134.96	$231.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $238.13	Facility		$138.33	$138.33	$238.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $998.08	Professional		$100.98	$100.98	$998.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $130.19 / $130.19	Professional		$130.19	$130.19	$130.19
United Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $103.75 / $160.31	Professional		$80.62	$103.75	$160.31