Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.99 / $259.14 / $310.97	Facility		$169.99	$259.14	$310.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $169.99 / $176.21	Professional		$155.47	$169.99	$176.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.04 / $310.97 / $362.79	Facility		$228.04	$310.97	$362.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $248.77 / $279.87	Professional		$248.77	$248.77	$279.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.44 / $448.39 / $621.87	Facility		$168.44	$448.39	$621.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.73 / $388.92 / $999.23	Professional		$359.73	$388.92	$999.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.14 / $251.14 / $1,203.71	Facility		$251.14	$251.14	$1,203.71
United Facility/Professional Facility Modifier Low / Median / High Price $87.07 / $87.07 / $87.07	Facility		$87.07	$87.07	$87.07
United Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $124.39 / $381.82	Professional		$93.29	$124.39	$381.82