Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $74.26	Facility		$38.54	$38.54	$74.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $35.46 / $64.59	Professional		$23.89	$35.46	$64.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $39.76 / $39.76 / $50.21	Professional	25	$39.76	$39.76	$50.21
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.76 / $14.90 / $21.55	Professional	52	$11.76	$14.90	$21.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.51 / $29.34 / $38.27	Facility		$25.51	$29.34	$38.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $53.33 / $82.42	Professional		$35.54	$53.33	$82.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $126.28	Professional		$34.82	$34.82	$126.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $32.36 / $37.64	Professional		$25.76	$32.36	$37.64
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $33.69 / $33.69 / $34.21	Professional	25	$33.69	$33.69	$34.21
United Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $40.61 / $56.93	Professional		$27.48	$40.61	$56.93