Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $53.94 / $250.11	Facility		$53.40	$53.94	$250.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $60.38	Professional		$57.51	$57.51	$60.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $63.26 / $86.27	Facility		$57.51	$63.26	$86.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $133.33	Professional		$57.51	$57.51	$133.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $85.00 / $85.00	Facility		$54.25	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $59.68	Professional		$57.51	$57.51	$59.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.37 / $62.37 / $216.62	Facility		$62.37	$62.37	$216.62
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $83.29	Professional		$57.51	$57.51	$83.29