Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $346.74	Professional		$147.91	$213.80	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $467.74	Facility		$223.87	$223.87	$467.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $416.87	Professional		$245.47	$245.47	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $660.69 / $660.69	Facility		$234.42	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $1,995.26	Professional		$169.82	$169.82	$1,995.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $229.09 / $398.11	Facility		$38.02	$229.09	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $338.84	Professional		$190.55	$251.19	$338.84