Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $118.65 / $215.04	Facility		$30.08	$118.65	$215.04
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $145.69 / $145.69 / $145.69	Facility	25	$145.69	$145.69	$145.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $210.88 / $399.11	Professional		$136.38	$210.88	$399.11
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $172.21 / $387.47 / $466.04	Professional	25	$172.21	$387.47	$466.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.21 / $198.04 / $284.14	Facility		$172.21	$198.04	$284.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.78 / $310.17 / $479.43	Professional		$206.78	$310.17	$479.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.44 / $242.44 / $242.44	Facility		$242.44	$242.44	$242.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.59 / $222.38 / $430.21	Professional		$158.59	$222.38	$430.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.71 / $235.03 / $304.26	Professional		$193.71	$235.03	$304.26
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $196.31 / $245.18 / $363.14	Professional	25	$196.31	$245.18	$363.14
United Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $220.94 / $330.85	Professional		$140.86	$220.94	$330.85
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $88.00 / $88.00	Professional	25	$80.00	$88.00	$88.00