Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $407.38 / $794.33	Facility		$147.91	$407.38	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $302.00	Professional		$131.83	$158.49	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $181.97	Facility		$154.88	$154.88	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $245.47 / $245.47	Facility		$34.67	$245.47	$245.47
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	54	$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $1,000.00	Professional		$141.25	$199.53	$1,000.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$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 $109.65 / $162.18 / $234.42	Professional		$109.65	$162.18	$234.42