Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $53.70 / $204.17	Facility		$38.90	$53.70	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $56.23	Professional		$30.90	$38.02	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $63.10 / $77.62	Facility		$48.98	$63.10	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $56.23 / $63.10	Professional		$30.20	$56.23	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $112.20 / $141.25	Facility		$38.90	$112.20	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $309.03 / $309.03	Professional		$26.92	$309.03	$309.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $208.93 / $630.96	Facility		$22.91	$208.93	$630.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $64.57	Professional		$19.95	$27.54	$64.57