Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $128.82 / $234.42	Facility		$15.14	$128.82	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $39.81	Professional		$12.02	$16.98	$39.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $25.12 / $30.90	Facility		$19.50	$25.12	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.39 / $25.12	Professional		$12.02	$22.39	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $33.88 / $54.95	Facility		$15.49	$33.88	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $125.89 / $125.89	Professional		$10.47	$125.89	$125.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $102.33 / $204.17	Facility		$32.36	$102.33	$204.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $18.62	Professional		$11.22	$11.22	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $25.12	Professional		$7.76	$10.96	$25.12