Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.22 / $152.78 / $183.33	Facility		$100.22	$152.78	$183.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $100.22 / $103.89	Professional		$91.67	$100.22	$103.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $183.33 / $213.89	Facility		$134.44	$183.33	$213.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $146.66 / $165.00	Professional		$146.66	$146.66	$165.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.30 / $242.31 / $366.62	Facility		$99.30	$242.31	$366.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $206.54 / $589.10	Professional		$59.02	$206.54	$589.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.97 / $40.97 / $40.97	Facility		$40.97	$40.97	$40.97
United Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $73.33 / $73.33	Facility		$73.33	$73.33	$73.33
United Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $63.37 / $203.70	Professional		$55.00	$63.37	$203.70