Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $149.46 / $149.46	Facility		$27.42	$149.46	$149.46
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $93.06 / $151.34 / $345.46	Facility	CQ	$93.06	$151.34	$345.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $20.10 / $27.43	Professional		$14.40	$20.10	$27.43
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $18.46 / $18.46 / $18.88	Professional	CQ	$18.46	$18.46	$18.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $30.32 / $44.52	Facility		$26.98	$30.32	$44.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $29.68 / $62.56	Professional		$26.98	$29.68	$62.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $27.88 / $27.88 / $27.88	Facility	CQ	$27.88	$27.88	$27.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $70.00 / $116.06	Professional		$23.90	$70.00	$116.06
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $61.28 / $75.86 / $112.39	Facility	CQ	$61.28	$75.86	$112.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $28.03 / $28.03	Professional		$28.03	$28.03	$28.03
United Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $27.34 / $39.64	Professional		$20.44	$27.34	$39.64