Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.65 / $159.65 / $571.61	Facility		$159.65	$159.65	$571.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.83 / $157.57 / $169.87	Professional		$148.83	$157.57	$169.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.93 / $417.19 / $540.79	Facility		$206.93	$417.19	$540.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.87 / $222.85 / $382.02	Professional		$200.87	$222.85	$382.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $180.09 / $373.07	Facility		$176.75	$180.09	$373.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $176.75 / $1,518.59	Professional		$129.03	$176.75	$1,518.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.66 / $514.66 / $532.39	Facility		$514.66	$514.66	$532.39
United Facility/Professional Professional Modifier Low / Median / High Price $118.27 / $159.26 / $256.95	Professional		$118.27	$159.26	$256.95