Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $141.25 / $141.25	Facility		$77.62	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $109.65	Professional		$66.07	$77.62	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $245.47 / $281.84	Facility		$79.43	$245.47	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $457.09 / $457.09	Professional		$162.18	$457.09	$457.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $457.09	Facility		$380.19	$380.19	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $125.89	Professional		$42.66	$52.48	$125.89