Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $71.09 / $71.09	Facility		$71.09	$71.09	$71.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $71.09 / $93.96	Professional		$46.70	$71.09	$93.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $195.74 / $253.73	Facility		$114.34	$195.74	$253.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $123.13 / $211.08	Professional		$94.24	$123.13	$211.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $128.85 / $206.14	Facility		$126.00	$128.85	$206.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $126.59 / $741.56	Professional		$109.52	$126.59	$741.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $101.49 / $101.49	Professional		$101.49	$101.49	$101.49
United Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $96.88 / $120.56	Professional		$67.81	$96.88	$120.56