Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.67 / $215.10 / $215.10	Facility		$40.67	$215.10	$215.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $21.96 / $22.23	Professional		$20.32	$21.96	$22.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $36.60 / $40.67	Facility		$29.82	$36.60	$40.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $32.53 / $36.60	Professional		$32.53	$32.53	$36.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.03 / $32.53 / $81.31	Facility		$22.03	$32.53	$81.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $39.24 / $130.66	Professional		$31.39	$39.24	$130.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.84 / $179.84 / $200.71	Facility		$179.84	$179.84	$200.71
United Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Facility		$16.27	$16.27	$16.27
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $13.56 / $49.08	Professional		$11.39	$13.56	$49.08