Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.14 / $720.04 / $1,440.08	Facility		$80.14	$720.04	$1,440.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $80.37 / $108.63	Professional		$59.29	$80.37	$108.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $78.84 / $108.14	Facility		$54.08	$78.84	$108.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $102.16 / $208.54	Professional		$86.51	$102.16	$208.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $125.42 / $125.42	Facility		$125.42	$125.42	$125.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $102.00 / $202.22	Professional		$72.26	$102.00	$202.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.50 / $115.31 / $135.40	Professional		$105.50	$115.31	$135.40
United Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $103.90 / $157.58	Professional		$69.36	$103.90	$157.58