Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.98 / $109.98 / $484.10	Facility		$109.98	$109.98	$484.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $34.96 / $65.94	Professional		$28.38	$34.96	$65.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $69.45 / $84.89	Facility		$51.45	$69.45	$84.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $119.29 / $119.29	Professional		$51.45	$119.29	$119.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Facility		$60.29	$60.29	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $247.99	Professional		$20.99	$20.99	$247.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.04 / $88.04 / $428.89	Facility		$88.04	$88.04	$428.89
United Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $27.80 / $53.79	Professional		$24.14	$27.80	$53.79