Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.40 / $136.04 / $149.63	Facility		$107.40	$136.04	$149.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $136.04	Professional		$106.33	$106.33	$136.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $127.60 / $191.39	Facility		$106.33	$127.60	$191.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $138.22 / $246.53	Professional		$106.33	$138.22	$246.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $354.88 / $354.88	Facility		$100.32	$354.88	$354.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $136.04	Professional		$106.33	$106.33	$136.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $753.49 / $753.49 / $753.49	Facility		$753.49	$753.49	$753.49
United Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $118.03 / $417.50	Professional		$106.33	$118.03	$417.50