Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.17 / $165.17 / $179.10	Facility		$165.17	$165.17	$179.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $28.62 / $28.97	Professional		$26.50	$28.62	$28.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $47.70 / $53.00	Facility		$38.86	$47.70	$53.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $47.70	Professional		$42.40	$42.40	$47.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $64.06 / $105.96	Facility		$28.70	$64.06	$105.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $50.59 / $227.70	Professional		$20.14	$50.59	$227.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.33 / $149.74 / $235.27	Facility		$55.33	$149.74	$235.27
United Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $21.67 / $49.37	Professional		$15.90	$21.67	$49.37