Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $89.30 / $125.02	Facility		$58.28	$89.30	$125.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $70.38 / $155.54	Professional		$70.37	$70.38	$155.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $70.38 / $105.57	Facility		$70.38	$70.38	$105.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $163.16 / $163.16	Professional		$163.16	$163.16	$163.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $85.00	Facility		$80.88	$80.88	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $141.38	Professional		$80.88	$80.88	$141.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.26 / $83.71 / $176.77	Facility		$51.26	$83.71	$176.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.41 / $78.08 / $83.67	Professional		$77.41	$78.08	$83.67
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $86.54 / $92.23	Professional		$72.23	$86.54	$92.23