Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $34.79 / $57.86	Facility		$31.63	$34.79	$57.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $31.24 / $31.63	Professional		$28.93	$31.24	$31.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.43 / $52.07 / $57.86	Facility		$42.43	$52.07	$57.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $46.28 / $52.07	Professional		$46.28	$46.28	$52.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.34 / $46.28 / $115.70	Facility		$31.34	$46.28	$115.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $55.24 / $185.91	Professional		$44.19	$55.24	$185.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $176.35 / $420.91	Facility		$149.19	$176.35	$420.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $21.45 / $21.45	Professional		$21.45	$21.45	$21.45
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $17.36 / $38.57	Professional		$16.20	$17.36	$38.57