Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $107.16 / $107.16	Facility		$94.00	$107.16	$107.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $209.50 / $405.67	Professional		$136.47	$209.50	$405.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.93 / $238.86 / $291.93	Facility		$176.93	$238.86	$291.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $212.32 / $569.11 / $574.41	Professional		$212.32	$569.11	$574.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.18 / $305.18 / $305.18	Facility		$305.18	$305.18	$305.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.43 / $265.39 / $835.69	Professional		$193.43	$265.39	$835.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.11 / $80.11 / $80.11	Facility		$80.11	$80.11	$80.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.78 / $253.78 / $253.78	Professional		$253.78	$253.78	$253.78
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.75 / $195.52 / $348.60	Professional		$126.75	$195.52	$348.60