Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.64 / $175.78 / $402.32	Facility		$89.64	$175.78	$402.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $56.42 / $60.61	Professional		$55.10	$56.42	$60.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.54 / $64.83 / $76.38	Facility		$47.54	$64.83	$76.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $107.34 / $107.34	Professional		$64.83	$107.34	$107.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $85.00	Facility		$56.42	$56.42	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $85.07	Professional		$56.42	$56.42	$85.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.07 / $149.85 / $525.41	Facility		$105.07	$149.85	$525.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $59.25 / $59.25	Professional		$59.25	$59.25	$59.25
United Facility/Professional Facility Modifier Low / Median / High Price $187.21 / $187.21 / $187.21	Facility		$187.21	$187.21	$187.21
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $113.46	Professional		$56.50	$56.50	$113.46