Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $117.60 / $211.96	Facility		$25.06	$117.60	$211.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $18.07 / $30.46	Professional		$15.04	$18.07	$30.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $27.07 / $33.08	Facility		$20.05	$27.07	$33.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $27.07 / $27.07	Professional		$20.05	$27.07	$27.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $43.04 / $60.13	Facility		$16.29	$43.04	$60.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $37.46 / $124.85	Professional		$11.41	$37.46	$124.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $98.16 / $140.43	Facility		$69.00	$98.16	$140.43
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.29 / $39.51	Professional		$9.02	$12.29	$39.51