Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.70 / $221.70 / $221.70	Facility		$221.70	$221.70	$221.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.67 / $221.70 / $270.51	Professional		$206.67	$221.70	$270.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $278.94 / $597.94 / $772.45	Facility		$278.94	$597.94	$772.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $278.94 / $300.39 / $505.06	Professional		$278.94	$300.39	$505.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $350.29 / $543.05	Facility		$315.73	$350.29	$543.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $315.73 / $2,276.15	Professional		$230.48	$315.73	$2,276.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $295.08 / $300.39	Professional		$295.08	$295.08	$300.39
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $174.55 / $214.10 / $356.83	Professional		$174.55	$214.10	$356.83