Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.95 / $378.60 / $767.04	Facility		$48.95	$378.60	$767.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $50.90 / $162.55	Professional		$21.55	$50.90	$162.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $26.33 / $31.86	Facility		$21.57	$26.33	$31.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $139.69 / $164.34	Professional		$25.49	$139.69	$164.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $38.20 / $38.20	Facility		$38.20	$38.20	$38.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $64.86 / $111.35	Professional		$21.24	$64.86	$111.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.00 / $384.48 / $528.05	Facility		$199.00	$384.48	$528.05
United Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $67.67 / $113.41	Professional		$48.62	$67.67	$113.41