Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $63.10 / $251.19	Facility		$23.99	$63.10	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $64.57	Professional		$19.95	$25.70	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $53.70 / $89.13	Facility		$24.55	$53.70	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $194.98 / $194.98	Professional		$16.60	$194.98	$194.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $91.20 / $257.04	Facility		$9.33	$91.20	$257.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $40.74	Professional		$12.30	$17.38	$40.74