Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $99.00 / $137.69	Facility		$99.00	$99.00	$137.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $10.74 / $10.87	Professional		$9.94	$10.74	$10.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $17.89 / $19.88	Facility		$14.58	$17.89	$19.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $15.90 / $17.89	Professional		$15.90	$15.90	$17.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $25.75 / $39.74	Facility		$10.76	$25.75	$39.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $19.10 / $78.94	Professional		$6.76	$19.10	$78.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.77 / $82.77 / $127.16	Facility		$82.77	$82.77	$127.16
United Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $5.57 / $5.57	Facility		$5.57	$5.57	$5.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $6.75 / $21.71	Professional		$5.57	$6.75	$21.71