Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.61 / $151.61 / $303.22	Facility		$151.61	$151.61	$303.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $172.95 / $409.71	Professional		$151.61	$172.95	$409.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.15 / $271.73 / $317.01	Facility		$181.15	$271.73	$317.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $271.73 / $420.01 / $420.01	Professional		$271.73	$420.01	$420.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.61 / $216.61 / $216.61	Facility		$216.61	$216.61	$216.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.96 / $247.20 / $905.82	Professional		$178.96	$247.20	$905.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.41 / $284.41 / $442.05	Professional		$284.41	$284.41	$442.05
United Facility/Professional Professional Modifier Low / Median / High Price $123.21 / $191.12 / $349.73	Professional		$123.21	$191.12	$349.73