Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.57 / $40.50 / $200.90	Facility		$20.57	$40.50	$200.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $18.48 / $18.70	Professional		$17.11	$18.48	$18.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.09 / $30.79 / $34.22	Facility		$25.09	$30.79	$34.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $27.37 / $30.79	Professional		$27.37	$27.37	$30.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $41.40 / $68.44	Facility		$18.54	$41.40	$68.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $33.04 / $145.05	Professional		$12.96	$33.04	$145.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $36.04 / $201.10	Facility		$33.86	$36.04	$201.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $13.69 / $26.12	Professional		$13.69	$13.69	$26.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $13.69 / $36.50	Professional		$10.26	$13.69	$36.50