Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.62 / $168.26 / $242.52	Facility		$68.62	$168.26	$242.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $225.05 / $315.75	Professional		$107.00	$225.05	$315.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.21 / $126.14 / $168.98	Facility		$107.21	$126.14	$168.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $206.82 / $319.68	Professional		$137.88	$206.82	$319.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $152.08 / $152.08	Facility		$152.08	$152.08	$152.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $150.00 / $314.45	Professional		$106.35	$150.00	$314.45
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $163.37 / $191.39	Professional		$153.22	$163.37	$191.39
United Facility/Professional Professional Modifier Low / Median / High Price $104.15 / $163.66 / $220.61	Professional		$104.15	$163.66	$220.61