Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.52 / $289.52 / $376.00	Facility		$101.52	$289.52	$376.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $87.34 / $199.98	Professional		$37.60	$87.34	$199.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.53 / $46.24 / $60.38	Facility		$38.53	$46.24	$60.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.58 / $159.33 / $238.73	Professional		$99.58	$159.33	$238.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $69.44 / $69.44	Facility		$69.44	$69.44	$69.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $101.23 / $200.14	Professional		$41.65	$101.23	$200.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.00 / $290.00 / $300.98	Facility		$290.00	$290.00	$300.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $109.94 / $313.20	Professional		$107.16	$109.94	$313.20
United Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $101.55 / $158.90	Professional		$70.54	$101.55	$158.90