Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.93 / $90.90 / $214.20	Facility		$35.93	$90.90	$214.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $19.77 / $21.74	Professional		$18.07	$19.77	$21.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $32.54 / $39.78	Facility		$24.11	$32.54	$39.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $30.14 / $32.54	Professional		$24.11	$30.14	$32.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $32.74 / $72.31	Facility		$19.59	$32.74	$72.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $35.11 / $116.21	Professional		$10.28	$35.11	$116.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.28 / $76.00 / $101.94	Facility		$26.28	$76.00	$101.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $30.49 / $30.49	Professional		$30.49	$30.49	$30.49
United Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $11.08 / $35.60	Professional		$10.60	$11.08	$35.60