Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $103.40 / $185.18	Facility		$15.40	$103.40	$185.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $13.26 / $14.24	Professional		$12.94	$13.26	$14.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.13 / $76.55 / $88.79	Facility		$56.13	$76.55	$88.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.55 / $124.77 / $124.77	Professional		$76.55	$124.77	$124.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $85.00	Facility		$13.26	$13.26	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $38.59	Professional		$13.26	$13.26	$38.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $80.20 / $87.34	Facility		$21.57	$80.20	$87.34
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $18.82	Professional		$13.00	$13.00	$18.82