Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $269.99 / $477.52	Facility		$86.00	$269.99	$477.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $124.60 / $137.33	Professional		$123.35	$124.60	$137.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $135.97 / $185.04	Facility		$123.36	$135.97	$185.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $286.01 / $286.01 / $286.01	Professional		$286.01	$286.01	$286.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $123.36 / $143.26	Facility		$116.38	$123.36	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $268.89	Professional		$123.36	$123.36	$268.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.19 / $286.99 / $476.00	Facility		$201.19	$286.99	$476.00
United Facility/Professional Facility Modifier Low / Median / High Price $224.35 / $224.35 / $224.35	Facility		$224.35	$224.35	$224.35
United Facility/Professional Professional Modifier Low / Median / High Price $119.66 / $123.36 / $139.34	Professional		$119.66	$123.36	$139.34