Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $147.60 / $649.79	Facility		$26.10	$147.60	$649.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $20.47 / $20.72	Professional		$18.95	$20.47	$20.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $34.11 / $41.70	Facility		$25.27	$34.11	$41.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $31.59 / $34.11	Professional		$25.27	$31.59	$34.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $45.83 / $75.81	Facility		$20.54	$45.83	$75.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $36.14 / $161.60	Professional		$14.37	$36.14	$161.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $74.78 / $153.77	Facility		$21.82	$74.78	$153.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $15.16 / $15.16	Professional		$15.16	$15.16	$15.16
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $15.16 / $51.20	Professional		$10.61	$15.16	$51.20