Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.52 / $102.52 / $102.52	Facility		$102.52	$102.52	$102.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $104.01 / $108.29	Professional		$88.39	$104.01	$108.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $75.16 / $115.62	Facility		$30.16	$75.16	$115.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $29.21 / $29.21	Professional		$29.21	$29.21	$29.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.84 / $111.84 / $770.09	Facility		$111.84	$111.84	$770.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $134.43 / $459.06	Professional		$79.80	$134.43	$459.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,284.25 / $2,284.25 / $2,284.25	Facility		$2,284.25	$2,284.25	$2,284.25
United Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $126.96 / $227.95	Professional		$78.19	$126.96	$227.95