Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $6,176.04 / $6,176.04	Facility		$140.13	$6,176.04	$6,176.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $140.13 / $145.68	Professional		$138.74	$140.13	$145.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $138.74 / $208.11	Facility		$138.74	$138.74	$208.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $321.67	Professional		$138.74	$138.74	$321.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $240.24 / $240.24	Facility		$130.88	$240.24	$240.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $138.74	Professional		$138.74	$138.74	$138.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,990.08 / $2,990.08 / $2,990.08	Facility		$2,990.08	$2,990.08	$2,990.08
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $282.00	Professional		$138.74	$138.74	$282.00