Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $478.63 / $478.63	Facility		$58.88	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $114.82 / $213.80	Professional		$53.70	$114.82	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $79.43	Facility		$66.07	$66.07	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $104.71 / $104.71	Facility		$34.67	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $128.82 / $630.96	Professional		$58.88	$128.82	$630.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $186.21	Professional		$169.82	$186.21	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $562.34	Facility		$457.09	$457.09	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $169.82	Professional		$56.23	$97.72	$169.82