Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $111.60 / $180.00	Facility		$30.60	$111.60	$180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $9.36 / $15.04	Professional		$8.57	$9.36	$15.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $15.43 / $18.86	Facility		$11.43	$15.43	$18.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $14.29 / $15.43	Professional		$11.43	$14.29	$15.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.28 / $20.73 / $34.29	Facility		$9.28	$20.73	$34.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $16.52 / $75.28	Professional		$6.48	$16.52	$75.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $66.12 / $116.98	Facility		$37.60	$66.12	$116.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $18.35 / $19.30	Professional		$18.35	$18.35	$19.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $7.01 / $18.29	Professional		$4.80	$7.01	$18.29