Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $96.30 / $415.80	Facility		$37.79	$96.30	$415.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $15.11 / $23.71	Professional		$12.95	$15.11	$23.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $23.31 / $28.50	Facility		$17.27	$23.31	$28.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $21.59 / $23.31	Professional		$17.27	$21.59	$23.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $23.48 / $51.83	Facility		$14.04	$23.48	$51.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $24.78 / $84.46	Professional		$7.32	$24.78	$84.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.67 / $78.95 / $164.10	Facility		$39.67	$78.95	$164.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Professional		$19.67	$19.67	$19.67
United Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $10.36 / $10.36	Facility		$10.36	$10.36	$10.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $7.94 / $25.53	Professional		$7.60	$7.94	$25.53