Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.12 / $6,142.50 / $6,142.50	Facility		$100.12	$6,142.50	$6,142.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $100.12 / $110.13	Professional		$99.12	$100.12	$110.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $148.69 / $148.69	Facility		$99.13	$148.69	$148.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $99.13 / $177.44	Facility		$93.52	$99.13	$177.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $278.80	Professional		$99.13	$99.13	$278.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.30 / $125.30 / $772.55	Facility		$125.30	$125.30	$772.55
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $110.35 / $313.13	Professional		$99.13	$110.35	$313.13