Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.32 / $96.32 / $96.32	Facility		$96.32	$96.32	$96.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $95.06 / $106.64	Professional		$89.79	$95.06	$106.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.83 / $251.68 / $326.25	Facility		$124.83	$251.68	$326.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.18 / $134.44 / $230.46	Professional		$121.18	$134.44	$230.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $121.71 / $225.06	Facility		$106.63	$121.71	$225.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $106.63 / $916.14	Professional		$77.84	$106.63	$916.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.97 / $130.97 / $130.97	Facility		$130.97	$130.97	$130.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $118.50 / $130.50	Professional		$118.50	$118.50	$130.50
United Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $93.01 / $155.02	Professional		$71.36	$93.01	$155.02