Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.94 / $73.31 / $107.16	Facility		$47.94	$73.31	$107.16
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $73.31 / $73.31 / $73.31	Facility	25	$73.31	$73.31	$73.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $21.17 / $30.52	Professional		$11.06	$21.17	$30.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.27 / $30.90 / $31.91	Professional	25	$26.27	$30.90	$31.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $12.80 / $17.25	Facility		$11.13	$12.80	$17.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $20.05 / $31.00	Professional		$13.37	$20.05	$31.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $15.71	Facility		$15.71	$15.71	$15.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.59 / $29.85	Professional		$11.22	$15.59	$29.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.63 / $140.63 / $140.63	Facility		$140.63	$140.63	$140.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $17.38 / $26.37	Professional		$14.52	$17.38	$26.37
United Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $15.56 / $29.14	Professional		$10.40	$15.56	$29.14