Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $52.48 / $154.88	Facility		$10.00	$52.48	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $14.13	Professional		$7.94	$8.91	$14.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $16.22 / $19.95	Facility		$12.59	$16.22	$19.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.45 / $16.22	Professional		$7.94	$14.45	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $28.84 / $36.31	Facility		$10.00	$28.84	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $16.98 / $58.88	Professional		$0.12	$16.98	$58.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $50.12 / $154.88	Facility		$29.51	$50.12	$154.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.50 / $12.02	Professional		$5.13	$5.50	$12.02