Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.77 / $75.77 / $75.77	Facility		$75.77	$75.77	$75.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.63 / $72.52 / $88.28	Professional		$70.63	$72.52	$88.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.66 / $175.99 / $235.58	Facility		$146.66	$175.99	$235.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $176.66 / $340.04	Professional		$102.66	$176.66	$340.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $182.97	Facility		$102.60	$102.60	$182.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $102.60 / $766.86	Professional		$74.90	$102.60	$766.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $108.37 / $117.33	Professional		$105.27	$108.37	$117.33
United Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $77.15 / $122.50	Professional		$68.59	$77.15	$122.50