Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $338.84	Facility		$11.22	$11.22	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $380.19	Professional		$190.55	$229.09	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Facility		$239.88	$239.88	$288.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $380.19 / $380.19	Facility		$34.67	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $1,348.96	Professional		$213.80	$295.12	$1,348.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
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 $165.96 / $234.42 / $346.74	Professional		$165.96	$234.42	$346.74