Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.39 / $242.39 / $242.39	Facility		$242.39	$242.39	$242.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.55 / $242.39 / $260.70	Professional		$230.55	$242.39	$260.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $321.31 / $572.15 / $865.06	Facility		$321.31	$572.15	$865.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $346.02 / $457.72	Professional		$267.00	$346.02	$457.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $492.37	Facility		$248.05	$248.05	$492.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $248.05 / $2,063.67	Professional		$181.08	$248.05	$2,063.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.16 / $314.16 / $386.19	Professional		$314.16	$314.16	$386.19
United Facility/Professional Professional Modifier Low / Median / High Price $241.46 / $286.64 / $429.38	Professional		$241.46	$286.64	$429.38