Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.76 / $261.32 / $653.29	Facility		$97.76	$261.32	$653.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $51.74 / $88.45	Professional		$35.25	$51.74	$88.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.35 / $57.90 / $76.62	Facility		$50.35	$57.90	$76.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $75.23 / $116.73	Professional		$50.35	$75.23	$116.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.50 / $74.50 / $144.27	Facility		$74.50	$74.50	$144.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $60.52 / $65.41	Professional		$57.83	$60.52	$65.41
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $63.21 / $63.21 / $63.21	Professional	25	$63.21	$63.21	$63.21
United Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $43.38 / $75.91	Professional		$22.44	$43.38	$75.91