Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.83 / $203.79 / $203.79	Facility		$169.83	$203.79	$203.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $101.90 / $186.57	Professional		$101.90	$101.90	$186.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.44 / $183.41 / $203.79	Facility		$149.44	$183.41	$203.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.03 / $163.03 / $183.41	Professional		$163.03	$163.03	$183.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.39 / $323.83 / $407.55	Facility		$110.39	$323.83	$407.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.33 / $195.14 / $654.85	Professional		$77.33	$195.14	$654.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.90 / $331.90 / $558.99	Facility		$331.90	$331.90	$558.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.43 / $229.43 / $229.43	Professional		$229.43	$229.43	$229.43
United Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $48.65 / $135.86	Professional		$40.86	$48.65	$135.86