Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.58 / $247.22 / $733.20	Facility		$147.58	$247.22	$733.20
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $197.63 / $207.74 / $284.82	Facility	25	$197.63	$207.74	$284.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.01 / $269.95 / $513.00	Professional		$158.01	$269.95	$513.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $127.73 / $325.85 / $580.29	Professional	25	$127.73	$325.85	$580.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.37 / $177.83 / $266.75	Facility		$133.37	$177.83	$266.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.87 / $421.79 / $592.69	Professional		$208.87	$421.79	$592.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.50 / $252.50 / $252.50	Facility		$252.50	$252.50	$252.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.17 / $270.07 / $879.31	Professional		$186.17	$270.07	$879.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.87 / $303.00 / $482.00	Facility		$154.87	$303.00	$482.00
Highmark BCBS Facility/Professional Facility Modifier 25 Low / Median / High Price $117.33 / $252.36 / $541.66	Facility	25	$117.33	$252.36	$541.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.44 / $310.44 / $310.44	Professional		$310.44	$310.44	$310.44
United Facility/Professional Professional Modifier Low / Median / High Price $184.92 / $309.26 / $431.59	Professional		$184.92	$309.26	$431.59