Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $229.09 / $691.83	Facility		$218.78	$229.09	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $501.19	Professional		$199.53	$257.04	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $295.12	Facility		$251.19	$251.19	$295.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $263.03	Professional		$257.04	$257.04	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $1,318.26	Facility		$389.05	$389.05	$1,318.26
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	54	$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $1,412.54	Professional		$208.93	$288.40	$1,412.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $446.68 / $891.25	Facility		$16.60	$446.68	$891.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $346.74 / $537.03	Professional		$331.13	$346.74	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $691.83	Facility		$457.09	$457.09	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $354.81	Professional		$162.18	$239.88	$354.81