Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.49 / $157.83 / $157.83	Facility		$143.49	$157.83	$157.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $143.49 / $169.84	Professional		$113.09	$143.49	$169.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.05 / $119.57 / $179.35	Facility		$45.05	$119.57	$179.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $43.62 / $150.90	Professional		$41.29	$43.62	$150.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.22 / $295.01 / $488.10	Facility		$175.22	$295.01	$488.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.86 / $188.06 / $429.44	Professional		$124.86	$188.06	$429.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.89 / $1,191.89 / $1,191.89	Facility		$1,191.89	$1,191.89	$1,191.89
United Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $131.97 / $249.41	Professional		$67.64	$131.97	$249.41