Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.51 / $255.83 / $255.83	Facility		$23.51	$255.83	$255.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $21.38 / $34.29	Professional		$19.55	$21.38	$34.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $35.19 / $39.11	Facility		$28.68	$35.19	$39.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $31.28 / $35.19	Professional		$31.28	$31.28	$35.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $49.73 / $78.22	Facility		$21.19	$49.73	$78.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $37.69 / $168.93	Professional		$14.79	$37.69	$168.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.49 / $117.81 / $134.13	Facility		$113.49	$117.81	$134.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $29.83 / $29.83	Professional		$29.83	$29.83	$29.83
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.99 / $51.38	Professional		$10.95	$15.99	$51.38