Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.64 / $929.64 / $929.64	Facility		$929.64	$929.64	$929.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $40.29 / $42.29	Professional		$18.00	$40.29	$42.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.72 / $88.74 / $115.03	Facility		$42.72	$88.74	$115.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $46.01 / $78.88	Professional		$42.72	$46.01	$78.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $48.77 / $77.03	Facility		$39.47	$48.77	$77.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $39.47 / $318.02	Professional		$33.56	$39.47	$318.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.52 / $382.52 / $382.52	Facility		$382.52	$382.52	$382.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $46.01 / $46.01	Professional		$46.01	$46.01	$46.01
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.79 / $54.65	Professional		$23.99	$32.79	$54.65