Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $321.81	Facility		$225.00	$225.00	$321.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.09 / $211.11 / $218.83	Professional		$193.09	$211.11	$218.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.20 / $386.18 / $450.54	Facility		$283.20	$386.18	$450.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $308.94 / $308.94 / $347.56	Professional		$308.94	$308.94	$347.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.18 / $637.41 / $772.27	Facility		$209.18	$637.41	$772.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $482.58 / $1,654.44	Professional		$146.49	$482.58	$1,654.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.12 / $262.04 / $1,287.07	Facility		$188.12	$262.04	$1,287.07
United Facility/Professional Professional Modifier Low / Median / High Price $115.85 / $157.87 / $507.44	Professional		$115.85	$157.87	$507.44