Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $407.38 / $676.08	Facility		$114.82	$407.38	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $112.20 / $239.88	Professional		$50.12	$112.20	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $67.61 / $87.10	Facility		$56.23	$67.61	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $251.19	Professional		$102.33	$204.17	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $91.20 / $91.20	Facility		$34.67	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $109.65 / $537.03	Professional		$51.29	$109.65	$537.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $478.63 / $741.31	Facility		$263.03	$478.63	$741.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $147.91 / $165.96	Professional		$72.44	$147.91	$165.96
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 $48.98 / $85.11 / $144.54	Professional		$48.98	$85.11	$144.54