Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.48 / $467.18 / $673.04	Facility		$298.48	$467.18	$673.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $103.47 / $208.83	Professional		$45.71	$103.47	$208.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $60.07 / $72.72	Facility		$49.45	$60.07	$72.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $208.20 / $244.93	Professional		$58.18	$208.20	$244.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $87.18 / $87.18	Facility		$87.18	$87.18	$87.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $113.03 / $240.08	Professional		$48.48	$113.03	$240.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $107.52 / $181.24	Professional		$71.17	$107.52	$181.24
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $106.99 / $148.66	Professional		$73.20	$106.99	$148.66