Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.05 / $64.05 / $69.59	Facility		$64.05	$64.05	$69.59
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $273.54 / $273.54 / $273.54	Facility	25	$273.54	$273.54	$273.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $70.68 / $147.36	Professional		$58.59	$70.68	$147.36
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.52 / $84.69 / $175.44	Professional	25	$12.52	$84.69	$175.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.68 / $81.28 / $106.08	Facility		$70.68	$81.28	$106.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $115.22 / $178.10	Professional		$76.81	$115.22	$178.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $100.27	Facility		$100.27	$100.27	$100.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $91.91 / $179.19	Professional		$67.06	$91.91	$179.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $82.97 / $122.01	Professional		$71.75	$82.97	$122.01
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $68.33 / $75.42 / $117.13	Professional	25	$68.33	$75.42	$117.13
United Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $99.42 / $194.36	Professional		$62.66	$99.42	$194.36
United Facility/Professional Professional Modifier 25 Low / Median / High Price $99.10 / $99.10 / $99.10	Professional	25	$99.10	$99.10	$99.10