Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.61 / $47.61 / $47.61	Facility		$47.61	$47.61	$47.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $45.57 / $47.61	Professional		$44.39	$45.57	$47.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.18 / $124.42 / $161.28	Facility		$73.18	$124.42	$161.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $78.81 / $135.10	Professional		$59.90	$78.81	$135.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $60.55 / $131.93	Facility		$60.55	$60.55	$131.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $60.55 / $484.12	Professional		$44.20	$60.55	$484.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $63.37	Professional		$61.54	$61.54	$63.37
United Facility/Professional Facility Modifier Low / Median / High Price $100.35 / $100.35 / $100.35	Facility		$100.35	$100.35	$100.35
United Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $49.04 / $76.63	Professional		$37.03	$49.04	$76.63