Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $130.63 / $204.30	Facility		$90.00	$130.63	$204.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $118.77 / $130.63	Professional		$108.63	$118.77	$130.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.32 / $217.26 / $253.47	Facility		$159.32	$217.26	$253.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.81 / $173.81 / $195.53	Professional		$173.81	$173.81	$195.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.69 / $313.26 / $434.50	Facility		$117.69	$313.26	$434.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.22 / $271.60 / $698.13	Professional		$251.22	$271.60	$698.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.11 / $395.91 / $674.08	Facility		$80.11	$395.91	$674.08
United Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $82.99 / $231.74	Professional		$65.18	$82.99	$231.74