Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $96.82 / $169.05	Facility		$40.42	$96.82	$169.05
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $30.08 / $124.08 / $870.44	Facility	25	$30.08	$124.08	$870.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $108.97 / $215.84	Professional		$64.59	$108.97	$215.84
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $75.81 / $118.00 / $218.67	Professional	25	$75.81	$118.00	$218.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.89 / $89.57 / $128.52	Facility		$77.89	$89.57	$128.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $155.31 / $240.06	Professional		$103.54	$155.31	$240.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.51 / $109.51 / $109.51	Facility		$109.51	$109.51	$109.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $109.16 / $221.64	Professional		$76.77	$109.16	$221.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $114.67 / $136.88	Professional		$88.19	$114.67	$136.88
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $111.14 / $121.14 / $183.77	Professional	25	$111.14	$121.14	$183.77
United Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $109.91 / $165.66	Professional		$72.20	$109.91	$165.66