Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $204.17 / $295.12	Facility		$52.48	$204.17	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $40.74	Professional		$23.99	$28.18	$40.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $47.86 / $57.54	Facility		$35.48	$47.86	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $57.54	Professional		$35.48	$47.86	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $75.86 / $104.71	Facility		$29.51	$75.86	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $169.82 / $169.82	Professional		$61.66	$169.82	$169.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $48.98	Professional		$15.85	$20.89	$48.98