Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $28.18 / $42.66	Professional		$13.18	$28.18	$42.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	25	$46.77	$46.77	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.85 / $21.38	Facility		$13.49	$15.85	$21.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.13 / $30.90	Professional		$13.18	$14.13	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $39.81 / $114.82	Professional		$15.49	$39.81	$114.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $25.70	Professional		$14.45	$18.20	$25.70
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $18.62 / $18.62 / $18.62	Professional	25	$18.62	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.95 / $35.48	Professional		$12.59	$19.95	$35.48