Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.68 / $117.50 / $181.42	Facility		$114.68	$117.50	$181.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.60 / $143.32 / $165.77	Professional		$139.60	$143.32	$165.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.10 / $391.31 / $507.26	Facility		$194.10	$391.31	$507.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.41 / $209.03 / $358.33	Professional		$188.41	$209.03	$358.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $349.93	Facility		$175.00	$175.00	$349.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $220.60 / $264.80	Professional		$127.75	$220.60	$264.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $101.15 / $532.39	Facility		$91.80	$101.15	$532.39
United Facility/Professional Facility Modifier Low / Median / High Price $300.68 / $300.68 / $300.68	Facility		$300.68	$300.68	$300.68
United Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $146.94 / $241.02	Professional		$110.93	$146.94	$241.02