Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.38 / $78.38 / $78.38	Facility		$78.38	$78.38	$78.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $78.38 / $84.31	Professional		$77.69	$78.38	$84.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.83 / $215.80 / $279.74	Facility		$116.83	$215.80	$279.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $125.82 / $215.69	Professional		$103.90	$125.82	$215.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $211.85	Facility		$113.25	$113.25	$211.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $113.25 / $887.94	Professional		$82.67	$113.25	$887.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $111.90 / $111.90	Professional		$111.90	$111.90	$111.90
United Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $111.40 / $132.91	Professional		$78.08	$111.40	$132.91