Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.63 / $163.63 / $163.63	Facility		$163.63	$163.63	$163.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.63 / $163.63 / $216.25	Professional		$163.63	$163.63	$216.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $216.89 / $450.47 / $583.94	Facility		$216.89	$450.47	$583.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.89 / $233.58 / $400.42	Professional		$216.89	$233.58	$400.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $424.88	Facility		$209.59	$209.59	$424.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $209.59 / $1,780.80	Professional		$153.00	$209.59	$1,780.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.08 / $212.08 / $260.69	Professional		$212.08	$212.08	$260.69
United Facility/Professional Facility Modifier Low / Median / High Price $219.98 / $219.98 / $219.98	Facility		$219.98	$219.98	$219.98
United Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $222.96 / $277.45	Professional		$166.47	$222.96	$277.45