Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.76 / $126.99 / $247.34	Facility		$77.76	$126.99	$247.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $39.72 / $48.18	Professional		$26.32	$39.72	$48.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $47.37 / $57.90	Facility		$35.09	$47.37	$57.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $47.37 / $47.37	Professional		$35.09	$47.37	$47.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.51 / $75.30 / $105.27	Facility		$28.51	$75.30	$105.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $66.05 / $169.13	Professional		$18.87	$66.05	$169.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.72 / $125.00 / $205.36	Facility		$56.72	$125.00	$205.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $52.66 / $52.66	Professional		$52.66	$52.66	$52.66
United Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $14.74 / $14.74	Facility		$14.74	$14.74	$14.74
United Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $20.11 / $64.62	Professional		$15.79	$20.11	$64.62