Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.60 / $420.42 / $652.36	Facility		$225.60	$420.42	$652.36
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $254.74 / $438.04 / $755.76	Facility	25	$254.74	$438.04	$755.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $61.62 / $221.68	Professional		$32.49	$61.62	$221.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.53 / $44.58 / $62.78	Facility		$40.53	$44.58	$62.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $60.80 / $93.97	Professional		$40.53	$60.80	$93.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $48.16 / $48.16	Facility		$48.16	$48.16	$48.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $51.57 / $90.35	Professional		$35.10	$51.57	$90.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.23 / $279.23 / $279.23	Facility		$279.23	$279.23	$279.23
Highmark BCBS Facility/Professional Facility Modifier 25 Low / Median / High Price $271.11 / $271.11 / $271.11	Facility	25	$271.11	$271.11	$271.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $54.18 / $83.85	Professional		$49.55	$54.18	$83.85
United Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $39.85 / $64.84	Professional		$28.67	$39.85	$64.84