Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $40.50 / $95.68	Facility		$12.55	$40.50	$95.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $11.27 / $15.21	Professional		$10.43	$11.27	$15.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $18.78 / $20.87	Facility		$15.30	$18.78	$20.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $16.69 / $18.78	Professional		$16.69	$16.69	$18.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $41.72 / $50.00	Facility		$11.30	$41.72	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $20.13 / $78.94	Professional		$6.76	$20.13	$78.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.06 / $73.06 / $225.00	Facility		$73.06	$73.06	$225.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.84 / $5.84 / $5.84	Facility		$5.84	$5.84	$5.84
United Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $6.96 / $21.71	Professional		$6.26	$6.96	$21.71