Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.50 / $812.70 / $1,005.30	Facility		$283.50	$812.70	$1,005.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.24 / $223.54 / $361.16	Professional		$197.24	$223.54	$361.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.29 / $355.04 / $433.93	Facility		$289.29	$355.04	$433.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $355.04 / $355.04	Professional		$262.99	$355.04	$355.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.68 / $458.09 / $788.89	Facility		$213.68	$458.09	$788.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.37 / $400.26 / $1,267.60	Professional		$114.37	$400.26	$1,267.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.69 / $571.30 / $1,128.84	Facility		$273.69	$571.30	$1,128.84
United Facility/Professional Professional Modifier Low / Median / High Price $118.35 / $131.50 / $392.11	Professional		$118.35	$131.50	$392.11