Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.86 / $603.90 / $603.90	Facility		$151.86	$603.90	$603.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $151.86 / $254.33	Professional		$138.90	$151.86	$254.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.72 / $277.80 / $324.10	Facility		$203.72	$277.80	$324.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $222.24 / $250.02	Professional		$222.24	$222.24	$250.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.47 / $222.24 / $555.54	Facility		$150.47	$222.24	$555.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $261.74 / $892.66	Professional		$74.79	$261.74	$892.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $752.32 / $752.32 / $752.32	Facility		$752.32	$752.32	$752.32
United Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $111.12 / $111.12	Facility		$111.12	$111.12	$111.12
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $92.60 / $268.54	Professional		$77.78	$92.60	$268.54