Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.72 / $270.72 / $469.06	Facility		$270.72	$270.72	$469.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $87.59 / $181.32	Professional		$81.81	$87.59	$181.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.99 / $53.47 / $95.47	Facility		$41.99	$53.47	$95.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $40.67 / $87.52	Professional		$38.49	$40.67	$87.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.68 / $97.68 / $97.68	Facility		$97.68	$97.68	$97.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $115.57 / $256.58	Professional		$70.73	$115.57	$256.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.91 / $408.91 / $408.91	Facility		$408.91	$408.91	$408.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.19 / $164.19 / $164.19	Professional		$164.19	$164.19	$164.19
United Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $107.51 / $185.96	Professional		$70.89	$107.51	$185.96