Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.39 / $65.39 / $508.80	Facility		$65.39	$65.39	$508.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $58.68 / $63.32	Professional		$55.42	$58.68	$63.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.06 / $155.36 / $201.39	Facility		$77.06	$155.36	$201.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $82.99 / $142.27	Professional		$74.80	$82.99	$142.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $383.66	Facility		$65.81	$65.81	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $65.81 / $565.48	Professional		$48.04	$65.81	$565.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $76.84 / $80.56	Professional		$73.14	$76.84	$80.56
United Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $119.37 / $119.37	Facility		$119.37	$119.37	$119.37
United Facility/Professional Professional Modifier Low / Median / High Price $44.05 / $57.41 / $95.68	Professional		$44.05	$57.41	$95.68