Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.30 / $465.30 / $465.30	Facility		$465.30	$465.30	$465.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $72.01 / $146.18	Professional		$69.48	$72.01	$146.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $53.88 / $82.04	Facility		$28.18	$53.88	$82.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $27.29 / $75.20	Professional		$25.83	$27.29	$75.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.14 / $83.14 / $83.14	Facility		$83.14	$83.14	$83.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $99.33 / $227.89	Professional		$60.53	$99.33	$227.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.14 / $425.14 / $425.14	Facility		$425.14	$425.14	$425.14
United Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $75.70 / $155.04	Professional		$56.77	$75.70	$155.04