Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.68 / $137.68 / $137.68	Facility		$137.68	$137.68	$137.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $137.68 / $166.53	Professional		$128.35	$137.68	$166.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.23 / $359.79 / $466.39	Facility		$173.23	$359.79	$466.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.23 / $186.56 / $319.81	Professional		$173.23	$186.56	$319.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $348.43	Facility		$175.81	$175.81	$348.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $175.81 / $1,460.36	Professional		$128.34	$175.81	$1,460.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.11 / $364.11 / $364.11	Facility		$364.11	$364.11	$364.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $179.96 / $179.96	Professional		$179.96	$179.96	$179.96
United Facility/Professional Professional Modifier Low / Median / High Price $111.44 / $142.46 / $221.60	Professional		$111.44	$142.46	$221.60