Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.96 / $149.96 / $177.01	Facility		$149.96	$149.96	$177.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $22.52 / $27.62	Professional		$19.60	$22.52	$27.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $33.11 / $39.74	Facility		$26.49	$33.11	$39.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $35.76 / $35.76	Professional		$26.49	$35.76	$35.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.77 / $61.77 / $61.77	Facility		$61.77	$61.77	$61.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $13.93 / $13.93	Professional		$13.93	$13.93	$13.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $38.24 / $38.24	Professional		$38.24	$38.24	$38.24
United Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $15.86 / $45.98	Professional		$11.92	$15.86	$45.98