Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.37 / $79.37 / $79.37	Facility		$79.37	$79.37	$79.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $75.95 / $79.37	Professional		$73.98	$75.95	$79.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.91 / $207.40 / $268.85	Facility		$102.91	$207.40	$268.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $110.82 / $189.98	Professional		$99.86	$110.82	$189.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $185.53	Facility		$88.85	$88.85	$185.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $756.31	Professional		$64.86	$88.85	$756.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $107.54 / $107.54	Professional		$107.54	$107.54	$107.54
United Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $76.64 / $115.46	Professional		$63.41	$76.64	$115.46