Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $213.80 / $758.58	Facility		$34.67	$213.80	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $37.15 / $123.03	Professional		$14.13	$37.15	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.95 / $25.12	Facility		$16.22	$19.95	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $123.03 / $151.36	Professional		$60.26	$123.03	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $34.67	Facility		$26.92	$26.92	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $56.23 / $331.13	Professional		$14.79	$56.23	$331.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $446.68 / $812.83	Facility		$234.42	$446.68	$812.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $562.34	Facility		$457.09	$457.09	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $37.15 / $75.86	Professional		$15.14	$37.15	$75.86