Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.92 / $124.08 / $216.20	Facility		$63.92	$124.08	$216.20
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $40.42 / $173.90 / $326.14	Facility	25	$40.42	$173.90	$326.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $162.04 / $346.09	Professional		$103.21	$162.04	$346.09
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $116.56 / $257.83 / $328.62	Professional	25	$116.56	$257.83	$328.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.31 / $155.61 / $223.26	Facility		$135.31	$155.61	$223.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.10 / $250.65 / $387.44	Professional		$167.10	$250.65	$387.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.64 / $191.64 / $191.64	Facility		$191.64	$191.64	$191.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.95 / $171.71 / $297.64	Professional		$116.95	$171.71	$297.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.18 / $238.79 / $300.85	Professional		$155.18	$238.79	$300.85
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $165.59 / $195.99 / $306.58	Professional	25	$165.59	$195.99	$306.58
United Facility/Professional Professional Modifier Low / Median / High Price $98.08 / $152.52 / $241.18	Professional		$98.08	$152.52	$241.18