Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $70.50 / $82.17	Facility		$35.72	$70.50	$82.17
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $55.46 / $55.46 / $55.46	Facility	25	$55.46	$55.46	$55.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $72.43 / $147.38	Professional		$40.88	$72.43	$147.38
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $49.78 / $99.56 / $147.93	Professional	25	$49.78	$99.56	$147.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.25 / $50.89 / $73.01	Facility		$44.25	$50.89	$73.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $98.16 / $151.72	Professional		$65.44	$98.16	$151.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $62.64 / $62.64	Facility		$62.64	$62.64	$62.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $68.56 / $151.63	Professional		$44.91	$68.56	$151.63
Highmark BCBS Facility/Professional Facility Modifier 25 Low / Median / High Price $136.11 / $136.11 / $136.11	Facility	25	$136.11	$136.11	$136.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $78.28 / $121.18	Professional		$48.61	$78.28	$121.18
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $69.40 / $75.59 / $83.37	Professional	25	$69.40	$75.59	$83.37
United Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $75.86 / $104.70	Professional		$50.58	$75.86	$104.70