Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $549.54 / $954.99	Facility		$177.83	$549.54	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $234.42	Professional		$151.36	$186.21	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $295.12	Facility		$165.96	$208.93	$295.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $407.38	Professional		$165.96	$194.98	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $954.99	Professional		$158.49	$158.49	$954.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,000.00 / $1,412.54	Facility		$537.03	$1,000.00	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $416.87	Professional		$147.91	$245.47	$416.87