Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.37 / $182.37 / $182.37	Facility		$182.37	$182.37	$182.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.68 / $182.37 / $220.86	Professional		$168.68	$182.37	$220.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.46 / $476.56 / $635.41	Facility		$229.46	$476.56	$635.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.46 / $247.11 / $408.97	Professional		$229.46	$247.11	$408.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $243.27 / $471.93	Facility		$229.50	$243.27	$471.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $229.50 / $1,977.98	Professional		$167.54	$229.50	$1,977.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.35 / $224.35 / $247.11	Professional		$224.35	$224.35	$247.11
United Facility/Professional Professional Modifier Low / Median / High Price $142.51 / $183.40 / $293.52	Professional		$142.51	$183.40	$293.52