Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.48 / $225.00 / $521.10	Facility		$180.48	$225.00	$521.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $58.47 / $59.20	Professional		$54.14	$58.47	$59.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.41 / $97.46 / $108.29	Facility		$79.41	$97.46	$108.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $86.63 / $97.46	Professional		$86.63	$86.63	$97.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.65 / $140.52 / $216.54	Facility		$58.65	$140.52	$216.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $103.77 / $347.96	Professional		$28.17	$103.77	$347.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.34 / $202.30 / $435.01	Facility		$176.34	$202.30	$435.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $43.31 / $58.68	Professional		$43.31	$43.31	$58.68
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $36.10 / $97.46	Professional		$30.32	$36.10	$97.46