Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.85 / $127.83 / $153.38	Facility		$83.85	$127.83	$153.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $83.85 / $134.93	Professional		$76.70	$83.85	$134.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.26 / $138.05 / $168.73	Facility		$102.26	$138.05	$168.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $138.05 / $138.05	Professional		$102.26	$138.05	$138.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $253.29 / $1,569.67	Facility		$83.09	$253.29	$1,569.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.89 / $492.89 / $492.89	Professional		$492.89	$492.89	$492.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.21 / $377.21 / $377.21	Facility		$377.21	$377.21	$377.21
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $51.13 / $148.28	Professional		$42.95	$51.13	$148.28