Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.62 / $207.00 / $207.00	Facility		$164.62	$207.00	$207.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $207.00 / $215.20	Professional		$204.96	$207.00	$215.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $307.44	Facility		$204.96	$204.96	$307.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $475.22	Professional		$204.96	$204.96	$475.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.35 / $1,076.67 / $1,076.67	Facility		$193.35	$1,076.67	$1,076.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Professional		$204.96	$204.96	$204.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.30 / $777.30 / $777.30	Facility		$777.30	$777.30	$777.30
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $1,266.59	Professional		$204.96	$204.96	$1,266.59