Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $114.54 / $114.54	Facility		$53.61	$114.54	$114.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $29.31 / $35.22	Professional		$26.81	$29.31	$35.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $48.25 / $58.97	Facility		$35.74	$48.25	$58.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $44.68 / $48.25	Professional		$35.74	$44.68	$48.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $50.62 / $107.21	Facility		$29.04	$50.62	$107.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $51.11 / $172.27	Professional		$15.21	$51.11	$172.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $21.44 / $21.44	Facility		$21.44	$21.44	$21.44
United Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $16.42 / $52.77	Professional		$15.01	$16.42	$52.77