Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.75 / $197.75 / $197.75	Facility		$197.75	$197.75	$197.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.01 / $197.75 / $214.96	Professional		$196.01	$197.75	$214.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.63 / $544.44 / $705.76	Facility		$322.63	$544.44	$705.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.14 / $362.96 / $645.26	Professional		$262.14	$362.96	$645.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $630.14	Facility		$260.88	$260.88	$630.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $260.88 / $2,345.80	Professional		$190.44	$260.88	$2,345.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.31 / $269.31 / $272.32	Professional		$269.31	$269.31	$272.32
United Facility/Professional Professional Modifier Low / Median / High Price $201.20 / $281.05 / $336.84	Professional		$201.20	$281.05	$336.84