Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $390.10 / $461.54	Facility		$43.29	$390.10	$461.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $100.21 / $180.51	Professional		$49.14	$100.21	$180.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.07 / $60.82 / $66.26	Facility		$55.07	$60.82	$66.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $58.90 / $58.90	Professional		$58.90	$58.90	$58.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $88.30 / $88.30	Facility		$88.30	$88.30	$88.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $111.49 / $243.22	Professional		$49.08	$111.49	$243.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $662.00 / $662.00	Facility		$662.00	$662.00	$662.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $72.56 / $156.07	Professional		$72.56	$72.56	$156.07
United Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $121.56 / $158.33	Professional		$81.72	$121.56	$158.33