Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $50.12 / $218.78	Facility		$17.78	$50.12	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $25.70	Professional		$14.13	$16.98	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $29.51 / $35.48	Facility		$22.91	$29.51	$35.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.30 / $29.51	Professional		$14.13	$26.30	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $38.90 / $64.57	Facility		$18.20	$38.90	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $144.54 / $144.54	Professional		$12.30	$144.54	$144.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $100.00 / $245.47	Facility		$54.95	$100.00	$245.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.30 / $29.51	Professional		$9.12	$12.30	$29.51