Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $158.49 / $165.96	Facility		$104.71	$158.49	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $165.96	Professional		$104.71	$104.71	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $229.09 / $229.09	Facility		$97.72	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $457.09	Professional		$104.71	$104.71	$457.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $165.96	Professional		$104.71	$114.82	$165.96