Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.42 / $57.42 / $57.42	Facility		$57.42	$57.42	$57.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $62.34 / $125.47	Professional		$56.69	$62.34	$125.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $45.58 / $67.00	Facility		$21.42	$45.58	$67.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $20.75 / $61.41	Professional		$19.64	$20.75	$61.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.18 / $67.18 / $67.18	Facility		$67.18	$67.18	$67.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $83.44 / $181.32	Professional		$48.92	$83.44	$181.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.67 / $107.67 / $440.94	Facility		$107.67	$107.67	$440.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.19 / $102.55 / $102.55	Professional		$98.19	$102.55	$102.55
United Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $80.63 / $138.88	Professional		$50.58	$80.63	$138.88