Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.30 / $864.80 / $864.80	Facility		$77.30	$864.80	$864.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $77.30 / $113.11	Professional		$36.32	$77.30	$113.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.07 / $52.61 / $72.43	Facility		$43.07	$52.61	$72.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $46.76 / $48.19	Professional		$46.76	$46.76	$48.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $69.06	Facility		$69.06	$69.06	$69.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $85.31 / $202.59	Professional		$44.11	$85.31	$202.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $671.19 / $671.19 / $671.19	Facility		$671.19	$671.19	$671.19
United Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $78.23 / $125.25	Professional		$53.39	$78.23	$125.25