Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.63 / $203.83 / $664.20	Facility		$63.63	$203.83	$664.20
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 $67.29 / $115.88 / $237.10	Facility		$67.29	$115.88	$237.10
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 Professional Modifier Low / Median / High Price $11.45 / $14.93 / $40.72	Professional		$11.45	$14.93	$40.72