Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.11 / $622.28 / $893.00	Facility		$113.11	$622.28	$893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $106.00 / $139.52	Professional		$82.19	$106.00	$139.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.22 / $110.56 / $152.09	Facility		$76.22	$110.56	$152.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.86 / $137.27 / $280.20	Professional		$120.86	$137.27	$280.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $175.89 / $175.89	Facility		$175.89	$175.89	$175.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $134.00 / $264.93	Professional		$96.00	$134.00	$264.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.04 / $152.81 / $191.59	Professional		$152.04	$152.81	$191.59
United Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $146.58 / $221.33	Professional		$105.11	$146.58	$221.33