Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $128.52 / $203.40	Facility		$37.79	$128.52	$203.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $19.43 / $23.07	Professional		$12.60	$19.43	$23.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $22.68 / $27.72	Facility		$16.80	$22.68	$27.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $21.00 / $22.68	Professional		$16.80	$21.00	$22.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $28.29 / $50.40	Facility		$13.65	$28.29	$50.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $24.26 / $106.51	Professional		$9.58	$24.26	$106.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $92.40 / $165.56	Facility		$37.70	$92.40	$165.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $18.48 / $29.79	Professional		$16.80	$18.48	$29.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $10.08 / $26.88	Professional		$7.56	$10.08	$26.88