Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.15 / $252.90 / $963.90	Facility		$191.15	$252.90	$963.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $104.49 / $108.32	Professional		$95.57	$104.49	$108.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.16 / $191.15 / $223.00	Facility		$140.16	$191.15	$223.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $152.91 / $172.03	Professional		$152.91	$152.91	$172.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $297.36 / $382.26	Facility		$103.54	$297.36	$382.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.31 / $209.00 / $614.21	Professional		$193.31	$209.00	$614.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.90 / $513.90 / $513.90	Facility		$513.90	$513.90	$513.90
United Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $75.97 / $205.11	Professional		$57.34	$75.97	$205.11