Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $44.13 / $57.53	Professional		$28.07	$44.13	$57.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $62.18 / $89.83	Facility		$54.44	$62.18	$89.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $59.88 / $126.23	Professional		$54.44	$59.88	$126.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.72 / $69.72 / $69.72	Facility		$69.72	$69.72	$69.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $80.01 / $116.06	Professional		$28.92	$80.01	$116.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $62.20 / $62.20	Professional		$62.20	$62.20	$62.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $36.50 / $58.33	Professional		$23.08	$36.50	$58.33