Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.88 / $292.50 / $351.00	Facility		$191.88	$292.50	$351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $191.88 / $198.90	Professional		$175.50	$191.88	$198.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.39 / $351.00 / $409.50	Facility		$257.39	$351.00	$409.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.80 / $280.80 / $315.89	Professional		$280.80	$280.80	$315.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.13 / $314.27 / $701.94	Facility		$190.13	$314.27	$701.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.88 / $1,127.88 / $1,127.88	Professional		$1,127.88	$1,127.88	$1,127.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.18 / $483.18 / $1,398.06	Facility		$483.18	$483.18	$1,398.06
United Facility/Professional Facility Modifier Low / Median / High Price $98.28 / $98.28 / $98.28	Facility		$98.28	$98.28	$98.28
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $117.00 / $339.30	Professional		$98.28	$117.00	$339.30