Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $275.42 / $376.94	Facility		$14.10	$275.42	$376.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $95.54 / $153.76	Professional		$50.83	$95.54	$153.76
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $90.99 / $94.41 / $96.86	Professional	25	$90.99	$94.41	$96.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.13 / $76.95 / $103.70	Facility		$69.13	$76.95	$103.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.23 / $122.35 / $257.88	Professional		$111.23	$122.35	$257.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.68 / $120.68 / $120.68	Facility		$120.68	$120.68	$120.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.88 / $96.78 / $186.11	Professional		$59.88	$96.78	$186.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.40 / $103.54 / $116.57	Professional		$102.40	$103.54	$116.57
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $103.92 / $112.37 / $116.57	Professional	25	$103.92	$112.37	$116.57
United Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $100.90 / $150.43	Professional		$78.08	$100.90	$150.43