Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.43 / $278.08 / $278.08	Facility		$142.43	$278.08	$278.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $16.44 / $23.42	Professional		$15.04	$16.44	$23.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $30.08 / $35.09	Facility		$22.06	$30.08	$35.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $24.06 / $27.07	Professional		$24.06	$24.06	$27.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $38.24 / $60.13	Facility		$16.29	$38.24	$60.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $34.65 / $130.37	Professional		$23.13	$34.65	$130.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.27 / $108.27 / $108.27	Facility		$108.27	$108.27	$108.27
United Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $8.42 / $8.42	Facility		$8.42	$8.42	$8.42
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.29 / $39.51	Professional		$9.02	$12.29	$39.51