Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $16.35 / $16.35	Facility		$16.35	$16.35	$16.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $22.28 / $37.50	Professional		$16.35	$22.28	$37.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $46.68 / $55.55	Facility		$39.22	$46.68	$55.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $45.37 / $45.37	Facility		$45.37	$45.37	$45.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $190.15	Professional		$25.50	$25.50	$190.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,055.39 / $1,055.39 / $1,055.39	Facility		$1,055.39	$1,055.39	$1,055.39
United Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $38.88 / $38.88	Facility		$38.88	$38.88	$38.88
United Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $38.22 / $63.06	Professional		$24.84	$38.22	$63.06