Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $107.29 / $188.16	Facility		$35.72	$107.29	$188.16
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $30.08 / $64.86 / $847.88	Facility	25	$30.08	$64.86	$847.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $164.81 / $349.80	Professional		$91.52	$164.81	$349.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $135.00 / $199.34 / $354.49	Professional	25	$135.00	$199.34	$354.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.51 / $145.49 / $208.74	Facility		$126.51	$145.49	$208.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.07 / $234.11 / $361.85	Professional		$156.07	$234.11	$361.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.29 / $178.29 / $178.29	Facility		$178.29	$178.29	$178.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.22 / $164.54 / $341.35	Professional		$120.22	$164.54	$341.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $187.29 / $223.62	Professional		$152.44	$187.29	$223.62
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $145.38 / $175.86 / $283.52	Professional	25	$145.38	$175.86	$283.52
United Facility/Professional Facility Modifier Low / Median / High Price $188.95 / $188.95 / $188.95	Facility		$188.95	$188.95	$188.95
United Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $170.17 / $249.71	Professional		$111.19	$170.17	$249.71