Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $128.82 / $128.82	Facility		$12.88	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $19.50	Professional		$10.96	$12.88	$19.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $40.74 / $51.29	Facility		$14.13	$40.74	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $109.65 / $109.65	Professional		$9.55	$109.65	$109.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $102.33 / $173.78	Facility		$70.79	$102.33	$173.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $22.91	Professional		$7.08	$10.00	$22.91