Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $186.21 / $186.21	Facility		$173.78	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $208.93	Professional		$173.78	$173.78	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $257.04	Facility		$173.78	$173.78	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $398.11	Professional		$173.78	$173.78	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $251.19 / $251.19	Facility		$162.18	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $741.31	Professional		$173.78	$173.78	$741.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $218.78	Professional		$173.78	$186.21	$218.78