Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $2,582.29 / $2,582.29	Facility		$18.21	$2,582.29	$2,582.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.48 / $1,170.88	Professional		$18.30	$18.48	$1,170.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $27.45 / $27.45	Facility		$18.30	$27.45	$27.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $18.30 / $21.49	Facility		$17.26	$18.30	$21.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $33.64	Professional		$18.30	$18.30	$33.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.44 / $59.44 / $75.92	Facility		$59.44	$59.44	$75.92
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $29.28	Professional		$18.30	$18.30	$29.28