Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.88 / $192.60 / $421.20	Facility		$88.88	$192.60	$421.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $20.87 / $33.47	Professional		$19.09	$20.87	$33.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $34.36 / $41.99	Facility		$25.45	$34.36	$41.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $31.81 / $34.36	Professional		$25.45	$31.81	$34.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $60.64 / $76.33	Facility		$20.68	$60.64	$76.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $36.65 / $152.41	Professional		$14.51	$36.65	$152.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $104.79 / $120.17	Facility		$64.75	$104.79	$120.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $40.25 / $40.25	Professional		$40.25	$40.25	$40.25
United Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $10.69 / $10.69	Facility		$10.69	$10.69	$10.69
United Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $15.27 / $40.72	Professional		$11.45	$15.27	$40.72