Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $90.29 / $410.02	Facility		$25.20	$90.29	$410.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $31.57 / $50.65	Professional		$28.88	$31.57	$50.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $51.98 / $63.53	Facility		$38.50	$51.98	$63.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $48.13 / $51.98	Professional		$38.50	$48.13	$51.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $69.83 / $115.51	Facility		$31.29	$69.83	$115.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $55.24 / $246.04	Professional		$21.97	$55.24	$246.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $155.26 / $373.35	Facility		$19.75	$155.26	$373.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $44.06	Professional		$23.10	$23.10	$44.06
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $23.10 / $61.60	Professional		$16.17	$23.10	$61.60