Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.75 / $63.83 / $120.60	Facility		$39.75	$63.83	$120.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $20.93 / $29.52	Professional		$19.14	$20.93	$29.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.08 / $34.47 / $38.29	Facility		$28.08	$34.47	$38.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $30.64 / $34.47	Professional		$30.64	$30.64	$34.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $46.30 / $76.56	Facility		$20.74	$46.30	$76.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $36.65 / $163.44	Professional		$14.51	$36.65	$163.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.41 / $102.95 / $160.13	Facility		$47.41	$102.95	$160.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $43.12 / $43.12	Professional		$43.12	$43.12	$43.12
United Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $15.32 / $35.67	Professional		$11.49	$15.32	$35.67