Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $222.41 / $240.64	Facility		$149.83	$222.41	$240.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.83 / $149.83 / $164.81	Professional		$149.83	$149.83	$164.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $55.57 / $80.72	Facility		$22.28	$55.57	$80.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $124.77 / $172.64	Professional		$16.20	$124.77	$172.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $164.66 / $164.66	Facility		$149.83	$164.66	$164.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $211.25	Professional		$164.66	$164.66	$211.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.11 / $352.58 / $416.42	Facility		$172.11	$352.58	$416.42
United Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $176.27 / $187.73	Professional		$147.02	$176.27	$187.73