Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.69 / $673.04 / $877.02	Facility		$148.69	$673.04	$877.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $123.04 / $199.91	Professional		$97.50	$123.04	$199.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.94 / $111.53 / $139.41	Facility		$92.94	$111.53	$139.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.64 / $178.73 / $276.25	Professional		$117.64	$178.73	$276.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $167.40 / $167.40	Facility		$167.40	$167.40	$167.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $166.81 / $376.34	Professional		$103.61	$166.81	$376.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.53 / $603.63 / $1,172.00	Facility		$463.53	$603.63	$1,172.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $218.65 / $218.65	Professional		$218.65	$218.65	$218.65
United Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $165.91 / $232.27	Professional		$101.87	$165.91	$232.27