Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $107.10 / $149.40	Facility		$56.70	$107.10	$149.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $19.50 / $19.75	Professional		$18.05	$19.50	$19.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $32.51 / $39.72	Facility		$24.08	$32.51	$39.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $30.10 / $32.51	Professional		$24.08	$30.10	$32.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $51.70 / $72.22	Facility		$19.55	$51.70	$72.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $12.66 / $116.07	Professional		$12.66	$12.66	$116.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $98.17 / $143.87	Facility		$26.73	$98.17	$143.87
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $13.87 / $47.89	Professional		$10.84	$13.87	$47.89