Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $257.04 / $478.63	Facility		$131.83	$257.04	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $269.15	Professional		$117.49	$144.54	$269.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $158.49	Facility		$134.90	$134.90	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $213.80 / $213.80	Facility		$34.67	$213.80	$213.80
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	54	$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $891.25	Professional		$123.03	$173.78	$891.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $371.54 / $1,174.90	Facility		$194.98	$371.54	$1,174.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $288.40	Professional		$213.80	$213.80	$288.40
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 $95.50 / $144.54 / $204.17	Professional		$95.50	$144.54	$204.17