Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.98 / $23.50 / $168.26	Facility		$15.98	$23.50	$168.26
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $34.78 / $158.86 / $207.74	Facility	25	$34.78	$158.86	$207.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $18.50 / $41.40	Professional		$6.84	$18.50	$41.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.10 / $40.95 / $48.71	Professional	25	$21.10	$40.95	$48.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $9.44 / $13.55	Facility		$8.21	$9.44	$13.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $30.71 / $47.46	Professional		$20.47	$30.71	$47.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $11.66 / $11.66	Facility		$11.66	$11.66	$11.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $20.01 / $39.17	Professional		$8.34	$20.01	$39.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.11 / $136.11 / $136.11	Facility		$136.11	$136.11	$136.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $25.44 / $26.58	Professional		$14.26	$25.44	$26.58
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $9.86 / $24.24 / $25.73	Professional	25	$9.86	$24.24	$25.73
United Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $23.29 / $33.25	Professional		$15.88	$23.29	$33.25