Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $77.62 / $109.65	Facility		$11.22	$77.62	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $14.13	Professional		$5.01	$7.08	$14.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.96 / $13.49	Facility		$8.51	$10.96	$13.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.77 / $10.96	Professional		$5.25	$9.77	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $15.49 / $24.55	Facility		$6.76	$15.49	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $53.70 / $53.70	Professional		$4.68	$53.70	$53.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $60.26 / $112.20	Facility		$26.30	$60.26	$112.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $8.13 / $12.30	Professional		$4.79	$8.13	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.79 / $10.96	Professional		$3.39	$4.79	$10.96