Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.58 / $53.58 / $53.58	Facility		$53.58	$53.58	$53.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $19.64 / $39.71	Professional		$12.93	$19.64	$39.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $19.07 / $26.01	Facility		$17.34	$19.07	$26.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $19.68 / $41.48	Professional		$17.89	$19.68	$41.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $21.21 / $70.03	Professional		$15.34	$21.21	$70.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $16.67 / $54.00	Professional		$15.03	$16.67	$54.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $21.74 / $90.10	Professional		$14.31	$21.74	$90.10