Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $288.40 / $416.87	Facility		$147.91	$288.40	$416.87
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $199.53 / $208.93 / $489.78	Facility	25	$199.53	$208.93	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $489.78	Professional		$151.36	$229.09	$489.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.82 / $323.59 / $575.44	Professional	25	$128.82	$323.59	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $181.97 / $239.88	Facility		$138.04	$181.97	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $616.60	Professional		$204.17	$257.04	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $1,318.26	Professional		$186.21	$295.12	$1,318.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $245.47 / $467.74	Facility		$141.25	$245.47	$467.74
Highmark BCBS Facility/Professional Facility Modifier 25 Low / Median / High Price $117.49 / $251.19 / $537.03	Facility	25	$117.49	$251.19	$537.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $407.38	Professional		$162.18	$245.47	$407.38