Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $102.33 / $316.23	Facility		$93.33	$102.33	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $213.80	Professional		$57.54	$104.71	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $117.49 / $158.49	Facility		$95.50	$117.49	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $218.78	Professional		$95.50	$104.71	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $162.18 / $162.18	Facility		$100.00	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $467.74	Professional		$64.57	$123.03	$467.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $154.88	Professional		$93.33	$95.50	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $128.82	Professional		$63.10	$83.18	$128.82