Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.56 / $93.59 / $131.13	Facility		$83.56	$93.59	$131.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.85 / $93.56 / $174.90	Professional		$54.85	$93.56	$174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $94.15 / $137.31	Facility		$78.45	$94.15	$137.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $154.62 / $181.91	Professional		$78.45	$154.62	$181.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $94.44 / $94.44	Facility		$94.44	$94.44	$94.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $109.84 / $373.68	Professional		$66.69	$109.84	$373.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.66 / $395.66 / $395.66	Facility		$395.66	$395.66	$395.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.48 / $89.48 / $98.67	Professional		$89.48	$89.48	$98.67
United Facility/Professional Professional Modifier Low / Median / High Price $66.08 / $91.49 / $141.11	Professional		$66.08	$91.49	$141.11