Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $95.50 / $251.19	Facility		$58.88	$95.50	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $91.20	Professional		$25.70	$28.84	$91.20
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 / $56.23 / $104.71	Facility		$29.51	$56.23	$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 $69.18 / $141.25 / $213.80	Facility		$69.18	$141.25	$213.80
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