Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $57.32	Facility		$57.32	$57.32	$57.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $57.32 / $69.33	Professional		$53.43	$57.32	$69.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.76 / $149.78 / $194.16	Facility		$88.76	$149.78	$194.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $99.86 / $175.99	Professional		$72.12	$99.86	$175.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $88.85 / $171.86	Facility		$84.33	$88.85	$171.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $605.20	Professional		$64.86	$88.85	$605.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.03 / $159.03 / $159.03	Facility		$159.03	$159.03	$159.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $70.52 / $70.52	Professional		$70.52	$70.52	$70.52
United Facility/Professional Professional Modifier Low / Median / High Price $46.39 / $58.37 / $86.84	Professional		$46.39	$58.37	$86.84