Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $44.67 / $117.49	Facility		$30.20	$44.67	$117.49
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $38.90 / $69.18 / $602.56	Facility	25	$38.90	$69.18	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $100.00	Professional		$28.18	$50.12	$100.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $32.36 / $54.95 / $100.00	Professional	25	$32.36	$54.95	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $40.74 / $56.23	Facility		$33.11	$40.74	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $123.03	Professional		$51.29	$61.66	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $134.90	Facility		$54.95	$54.95	$134.90
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	22	$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	62	$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $5.37 / $5.37 / $5.37	Facility	AS	$5.37	$5.37	$5.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $47.86 / $117.49	Professional		$27.54	$47.86	$117.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Facility		$6.31	$6.31	$6.31
Highmark BCBS Facility/Professional Facility Modifier 25 Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	25	$134.90	$134.90	$134.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $95.50	Professional		$36.31	$58.88	$95.50
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $38.02 / $58.88 / $67.61	Professional	25	$38.02	$58.88	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $61.66	Professional		$21.88	$36.31	$61.66