Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.68 / $139.51 / $208.12	Facility		$40.68	$139.51	$208.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $29.56	Professional		$21.53	$21.53	$29.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $23.68 / $32.29	Facility		$21.53	$23.68	$32.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $21.53 / $49.91	Professional		$13.99	$21.53	$49.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $85.00 / $85.00	Facility		$20.30	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $25.87	Professional		$21.52	$21.52	$25.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $58.10 / $64.98	Facility		$58.10	$58.10	$64.98
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $23.68 / $78.20	Professional		$21.53	$23.68	$78.20