Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $95.50	Professional		$38.02	$50.12	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $104.71 / $138.04	Facility		$83.18	$104.71	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $194.98	Professional		$83.18	$125.89	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $125.89 / $125.89	Facility		$85.11	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $380.19	Professional		$61.66	$61.66	$380.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $107.15	Facility		$54.95	$54.95	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $100.00	Professional		$52.48	$64.57	$100.00