Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $44.67 / $162.18	Facility		$19.95	$44.67	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $30.90	Professional		$15.14	$18.20	$30.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $29.51 / $36.31	Facility		$22.91	$29.51	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $26.30 / $29.51	Professional		$14.45	$26.30	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $39.81 / $66.07	Facility		$18.20	$39.81	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $117.49 / $117.49	Professional		$12.59	$117.49	$117.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $63.10 / $162.18	Facility		$20.42	$63.10	$162.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $29.51	Professional		$13.18	$13.18	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $26.30	Professional		$9.33	$12.88	$26.30