Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.42 / $207.42 / $207.42	Facility		$207.42	$207.42	$207.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.42 / $207.42 / $239.66	Professional		$207.42	$207.42	$239.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.95 / $571.04 / $740.25	Facility		$295.95	$571.04	$740.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $318.73 / $546.40	Professional		$274.95	$318.73	$546.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $557.89	Facility		$293.77	$293.77	$557.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $293.77 / $2,338.28	Professional		$214.45	$293.77	$2,338.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.10 / $296.10 / $296.10	Professional		$296.10	$296.10	$296.10
United Facility/Professional Facility Modifier Low / Median / High Price $479.40 / $479.40 / $479.40	Facility		$479.40	$479.40	$479.40
United Facility/Professional Professional Modifier Low / Median / High Price $211.03 / $294.79 / $351.72	Professional		$211.03	$294.79	$351.72