Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.05 / $329.65 / $451.20	Facility		$135.05	$329.65	$451.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $156.93 / $320.42	Professional		$125.30	$156.93	$320.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $354.00 / $354.00 / $354.00	Professional	25	$354.00	$354.00	$354.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.57 / $176.31 / $242.31	Facility		$121.57	$176.31	$242.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.01 / $207.87 / $424.32	Professional		$183.01	$207.87	$424.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $280.49 / $280.49	Facility		$200.00	$280.49	$280.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $172.57 / $298.64	Professional		$60.00	$172.57	$298.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.49 / $229.62 / $356.28	Professional		$189.49	$229.62	$356.28
United Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $167.07 / $236.13	Professional		$109.38	$167.07	$236.13