Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.29 / $152.29 / $152.29	Facility		$152.29	$152.29	$152.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $145.75 / $152.29	Professional		$141.97	$145.75	$152.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.61 / $397.95 / $515.87	Facility		$191.61	$397.95	$515.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.61 / $206.35 / $353.74	Professional		$191.61	$206.35	$353.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $378.24	Facility		$190.69	$190.69	$378.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $190.69 / $1,585.30	Professional		$139.19	$190.69	$1,585.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.85 / $196.85 / $196.85	Professional		$196.85	$196.85	$196.85
United Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $155.07 / $245.11	Professional		$123.26	$155.07	$245.11