Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.42 / $322.42 / $322.42	Facility		$322.42	$322.42	$322.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $30.63 / $39.68	Professional		$28.16	$30.63	$39.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $20.95 / $37.03	Facility		$14.99	$20.95	$37.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $15.58 / $15.58	Professional		$15.58	$15.58	$15.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $41.84 / $328.68	Professional		$24.53	$41.84	$328.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.20 / $294.20 / $294.20	Facility		$294.20	$294.20	$294.20
United Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $40.89 / $112.96	Professional		$22.79	$40.89	$112.96