Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $73.23 / $173.90	Facility		$35.72	$73.23	$173.90
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $30.08 / $98.70 / $197.40	Facility	25	$30.08	$98.70	$197.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $83.17 / $172.53	Professional		$49.00	$83.17	$172.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $59.36 / $91.24 / $168.00	Professional	25	$59.36	$91.24	$168.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $71.59 / $102.73	Facility		$62.26	$71.59	$102.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $126.00 / $194.76	Professional		$84.00	$126.00	$194.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.08 / $88.08 / $88.08	Facility		$88.08	$88.08	$88.08
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $55.05 / $55.05 / $55.05	Facility	62	$55.05	$55.05	$55.05
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.81 / $8.81 / $8.81	Facility	AS	$8.81	$8.81	$8.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $84.77 / $148.54	Professional		$53.30	$84.77	$148.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.18 / $136.11 / $136.11	Facility		$45.18	$136.11	$136.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $94.88 / $110.43	Professional		$71.66	$94.88	$110.43
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $71.84 / $99.17 / $152.63	Professional	25	$71.84	$99.17	$152.63
United Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $71.39 / $123.74	Professional		$49.97	$71.39	$123.74